[divbox=white][table][tr][td][color=transparent]PL[/color][/td]
[td][size=150][font=Franklin Gothic][b][i]SAN ANDREAS SHERIFF'S DEPARTMENT[/i][/b][/font][/size]
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[color=transparent]PLACEHOLDERPLACEHOLDERPLACEHOLDERPLACEHOLDERPLACEHOLDERPLACE[/color]
[center][b][size=130]DEPARTMENTAL REINSTATEMENT REQUEST[/size][/b]
[i][size=110]REINSTATEMENT APPLICATION[/size][/i]
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[size=110]Full name[/SIZE][/center]
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[td][color=transparent]PLACE[/color][/td]
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[right][img]https://i.imgur.com/vwBg2yn.png[/img][/right]
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[color=transparent]PLACE[/color]
[table][tr][td][size=125][font=times new roman][b][U]SECTION I:[/u] Personal Information[/b][/font][/size]
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[list=][font=Times new roman][b]1.1 First name:[/b] Vytalik
[b]1.2 Last name:[/b] Ibranovic
[b]1.3 Gender:[/b] Male
[b]1.4 Address:[/b] Vale 68
[b]1.5 Phone number:[/b] 7023.
[b]1.6 Date of birth (DD/MM/YYYY):[/b] 27/05/1987[/font][/list]

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[size=125][font=times new roman][b][U]SECTION II:[/u] Licenses[/b][/font][/size]
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[list=][font=Times new roman][b]2.1 Do you have a valid driver's license (YES/NO):[/b] Yes.+
[b]2.2 Do you have a valid weapon permit (YES/NO):[/b] Yes.
[b]2.3 Do you have any other valid licenses?:[/b] No.[/font][/list]

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[size=125][font=times new roman][b][U]SECTION III:[/u] Department information[/b][/font][/size]
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[list=][font=Times new roman][b]3.1 Past Rank:[/b] DS III
[b]3.2 Past Divisions:[/b] None.[/font][/list][/td]
[td][color=transparent]P[/color][/td]
[td][size=125][font=times new roman][b](( [U]SECTION IV:[/u] OOC Personal Information ))[/b][/font][/size]
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[list=][font=Times new roman][b]4.1 In game level:[/b] 15.
[b]4.2 Unedited screenshot of your /stats:[/b] [url=https://imgur.com/a/sFAdH]ACCESS[/url]

[b]4.3 Link to your bdroleplay.com forum profile:[/b] Currently banned.
[b]4.4 Have you ever been banned before?:[/b] Yes.
[b]4.4.1 If yes, for what reason?:[/b] Wrongfully banned for DM'ing.

[b]4.5 A microphone is required while on duty. Do you have a working microphone?:[/b] Yes.

[b]Do you have an alternative account..
4.6.1 ..which is a (high ranked) gang member? (YES/NO):[/b] Nope.
[b]4.6.2 ..which is a high ranked faction member? (YES/NO):[/b] Nope.[/font]
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[td][color=transparent]P[/color][/td][/tr][/table]
[hr][/hr]
[quote][size=120][b][font=times new roman]REINSTATEMENT DECLARATION[/font][/b][/size]

I, [b]Vytalik Ibranovic[/b], confirm that all above information is honest and filled out correctly. I agree that the San Andreas Sheriff's Department will perform a personal background check on my reinstatement. I, [b]Vytalik Ibranovic[/b], also understand that my reinstatement may be denied for any reason at any time.[/quote]
[color=transparent]PLACE[/color][/divbox]