LOS SANTOS FIRE DEPARTMENT
MIRANA GRIFFIN FIRE CHIEF |
LOS SANTOS FIRE DEPARTMENT VINEWOOD, LOS SANTOS 90028 PO BOX 33021 TELEPHONE: 444-LSFD |
FIREFIGHTER APPLICATION
I — APPLICANT INFORMATION
A. Full Name: Immanuel Ethan
B. Date of Birth: 10/11/1998
C. Gender: Male
D. Weight (Kg): 62 Kg
E. Height (Cm): 170 Cm
F. E-mail Address: [email protected]
G. Domestic Address: Los Santos, Fort Carson
H. Phone Number: 4-4-4-7-3-4
I. Are you a citizen of the United States?: Yes
J. Do you possess a drivers license within the State of San Andreas?: Yes
II — APPLICANT BACKGROUND AND EDUCATION
A. Lastest Education:
Please fill the blank format!
GED
Associate Degree
Bachelor Degree
Graduate Degree
B. Have you previously submitted an application for a position within the Los Santos Fire Department or any Fire Department on United State of America?: Yes
C. Have you previously been employed by the Los Santos Fire Department or any Fire Department on United State of America?: No
D. Have you previously been employed by any government agency? If so, specify: No
E. Current Job: Taxi Driver
.
III — APPLICANT STATEMENT
A. Fill in the following statement: I, Immanuel Ethan, certify that the information provided in this application is factual at the time of submission. By submitting this application, I authorize the Los Santos Fire Department and any relevant employee authorized by them to conduct a thorough investigation on me, which may involve accessing relevant government records. I understand that should any information be deemed untruthful, I may face civil or criminal penalties. I also acknowledge that I have read all information provided to me and have put full effort into the submission and compilation of this application.
(( IV — OUT-OF-CHARACTER INFORMATION ))
A. Fullname Real Life: M. Noval
B. Age: 18
C. UCP Name LunarPride: npll
D. Discord Id: 528490954404003852
E. Country: Pekanbaru, Riau
F. Timezone *Untuk Indonesia WIB/WITA/WIT: WIB
G. Names of all LunarPride Forum Accounts: noval10
H. Link to forum verification *Cek di Forum LunarPride Profile dan Copy Linknya: Verification
I. Current character names and levels:- Immanuel Ethan - 11
J. Current character stats screnshoot:- ► Show Spoiler
K. Provide your unedited admin record for all characters:- ► Show Spoiler
L. Are you currently in an official faction? If yes, provide the name: No
M. Please attach your Character Story Link: Here
N. List all official factions and families you have previously been in:- No
O. Are you currently banned from any legal factions? If so, specify and explain:: No.