Los Santos Police Department
NEWS MEDIA IDENTIFICATION CARD APPLICATION FORM
(Rev 03/2022)
NEWS MEDIA IDENTIFICATION CARD APPLICATION FORM
(Rev 03/2022)
SECTION 1: PERSONAL
1. Your Full Name:
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- Last: Montblanc
First: Laura
Middle: -
- 21/JAN/1999
- 19e, Paris, France
- [—] Male
[X] Female
- [—] Black
[—] Hispanic
[—] Asian
[X] Caucasian
[—] Pacific Islander
[—] American Indian or Alaskan Native
[—] Filipino
[—] Two or more races
- 1222 Market Street, Market, Los Santos, San Andreas
- 888-7777
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SECTION 2: EMPLOYMENT
8. Employer: San Andreas Network
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- If you are self-employed, PLEASE indicate.
Position/Job Title: Journalist
Business Address: Star Tower, Commerce, Los Santos, San Andreas
Work/Mobile No: 888-7777
Provide a brief description of your job duties as it applies to the need for an LSPD media card: My duties that will require an LSPD Media Card consists in:
Exclusive Access:
With the use of my LSPD Media Card, I hope to gain access into exclusive special operations and high risk situations, so I can provide the most accurate and objective coverage of news related to the Los Santos Police Department.
Interviews, Press conference access:
I also hope to have access to exclusive interviews with the LSPD media relation division, the San Andreas Network has the tools to get into a bigger audience, and with that allow the LSPD to send an important message if they have one in a very objective and unbiased matter, I would also like to gain access into the Conference room during press releases or speeches, and have the right to ask questions if it's a Q&A session.
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SECTION 3: CERTIFICATION
9. I certify that I have carefully read the information submitted on this application, and that it is true and complete. I understand any false information or withholding of information is grounds for the denial or revocation of my LSPD News Media Identification Card.
Signature in Full: Laura Montblanc
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Signature in Full: Laura Montblanc
Date: 08/NOV/2024
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(( SECTION 4: OUT OF CHARACTER ))
10. Timezone (GMT):
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- +1 GMT
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