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  1. [divbox=white][hr][/hr][center][img]https://adma.id.au/images/sapdmed.png[/img]
  2. [b][size=150]San Andreas Police Department - Application Form[/size]
  3. [/b][/center][hr][/hr][center][b]ONLINE REGISTRATION[/b][/center][hr][/hr]
  4. [/divbox]
  5.  
  6. [divbox=white]
  7. [hr][/hr][center][b]Personal Informations[/b][/center][hr][/hr]
  8. [b]1.1) Firstname: Alexsandr
  9. 1.2) Lastname: Dzyuba
  10. 1.3) Age: 23
  11. 1.4) Gender: Laki Laki
  12. 1.5) Date of birth: 24/12/1994
  13. 1.6) Place of birth: Italian
  14. 1.7) Email: alexsandr07@gmail.ckm
  15.  
  16. 1.8) Marital status:[/b] (Single/Married/Separated/Widow/er)Single
  17. [b]1.9) Height: 177 cm
  18. 1.10) Weight:69 kg
  19. 1.11) Blood Type: AB
  20. 1.12) Do you have any weakness that may affect your duty as Law Enforcement? -
  21. 1.13) Hereditary disease (if any): -
  22.  
  23. 1.14) Phone Number:
  24. 1.15) House Phone Number: -
  25. 1.16) Address: Apartement Rodeo
  26.  
  27. 1.17) [list]Do you own a Driving License? [✓]
  28. Do you own a Sailing License? [X]
  29. Do you own a Flying License? [X]
  30. Do you own a Firearms License? [X][/list]
  31. [/b][/divbox]
  32.  
  33.  
  34. [divbox=white]
  35. [hr][/hr][center][b]Education Background[/b][/center][hr][/hr]
  36. [b]2.1) Pre-School: Pre School Italian
  37. 2.2) Primary School: Primary School Italian
  38. 2.3) Junior High School: Junior High Roma
  39. 2.4) Senior High School: Senior High Roma
  40. 2.5) University (if any): S1 University Roma
  41. [/b][/divbox]
  42.  
  43. [divbox=white]
  44. [hr][/hr][center][b]Employment Experience[/b][/center][hr][/hr]
  45. [b]3.1) Name of Company / Employer: -
  46. 3.1.1) Position: -
  47. 3.1.2) Year employed: -
  48. 3.1.3) Length of work: -
  49. 3.1.4) Employer's contact (If any): -
  50. 3.1.5) Reason for separation (If any): -
  51.  
  52. 3.2) Previous Name of Company / Employer: -
  53. 3.2.1) Position: -
  54. 3.2.2) Year employed: -
  55. 3.2.3) Length of work: -
  56. 3.2.4) Employer's contact (If any): -
  57. 3.2.5) Reason for separation (If any): -
  58. [/b][/divbox]
  59.  
  60. [divbox=white]
  61. [hr][/hr][center][b]Personal Qualifications[/b][/center][hr][/hr]
  62. [b]4.1) Have you ever been involved in a criminal case? If yes, explain it: N/A
  63. 4.2) Attach your Certificate of Good Conduct (CGC):
  64. 4.3) Have you ever submitted an application to SAPD? If yes, when?: N/A
  65. 4.4) Whats the reason of your denial from the previous application (If you got denied)?: N/A
  66. 4.5) Why would you like to be a part of the San Andreas Police Department?:
  67. 4.6) Why should we accept you in the San Andreas Police Department?:
  68. [/b][/divbox]
  69.  
  70. [divbox=white]
  71. [hr][/hr][center][b]((Out of Character))[/b][/center][hr][/hr]
  72. [b]5.1) JG:RP Forum ID:
  73. 5.2) JG:RP UCP ID:
  74. 5.3) Age:
  75. 5.4) Internet Services Provider:
  76. 5.5) Are you playing in Internet Cafe or Personal Computer?
  77. 5.6) What do you know about Government and Law?
  78.  
  79. 5.7) Do you have a fully working microphone? If no, explain it:
  80. 5.8) Do you have teamspeak 3 installed in your computer?
  81.  
  82. 5.8) Do you have any Admin Record?
  83. [secspoiler=Admin Record]
  84. Put all of your character /mywarns at here[/secspoiler]
  85. 5.9) List all your Account and UCP:
  86. [secspoiler=Account and UCP]
  87. ACCOUNT - UCP ID
  88. [/secspoiler]
  89. 5.10) Have you ever roleplayed in any other roleplay servers, and how long you have been played in this server?:
  90. [/b][/divbox]
  91.  
  92. [divbox=white]
  93. [hr][/hr][center][b]Declaration and Agreement[/b][/center][hr][/hr]
  94.  
  95. [quote]I, Firstname Lastname declares that;[list=1]
  96. [*]I am willing always joined and active in the San Andreas Police Department in two weeks after academy.
  97. [*]I am willing always joined and active in the San Andreas Police Department and I will inform the SAPD if I have an obstacles during my duty.
  98. [*]I am willing to obey all the rules and regulations.
  99. [*]I am willing to do not take any job besides of my job in the SAPD.
  100. [*]I am willing to accept the consequences of ((180 minutes)) jail and a fines of $3.000.00 if I violating/breaking this contract.[/list][/quote]
  101.  
  102. [quote]((I, hereby OOCly swear that all the informations I gave on Out of Character Section is true, and will be polite to every staff of SAPD without seeing their attitudes, ages, and the others, and also I acknowledge that I can be demoted/kicked/suspended or even banned from the server for any reason whether it is IC or OOC.[/quote]
  103.  
  104. Los Santos, <dd/mm/yyyy>
  105.  
  106. [i]<signature>[/i][/divbox]
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