Officer Report Form

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Officer Report Form

Post  Luis Kennedy on Sun Feb 10, 2013 3:56 pm

(( Make a new thread and change the title to "[Nama officer] - [Pelanggaran]" ))


Officer Report

Informasi Officer
Nama:
Rank:
Nomor lencana:


Informasi Anda
Nama:
Alamat:
Nomor telepon:


Informasi Kejadian
Tanggal:
Waktu:
Lokasi:
Penjelasan Kejadian:
Saksi ( Kosongkan bila tidak ada saksi ):
Bukti Kejadian ( Harus ada, berupa SS ):




Code:
[quote][center][img]http://i.imgur.com/4ifCO.png[/img]
[size=18][b]Officer Report[/b][/size][/center]

[u][b]Informasi Officer[/b][/u]
Nama:
Rank:
Badge Number:


[u][b]Informasi Anda[/b][/u]
Nama:
Alamat:
Nomor telepon:


[u][b]Informasi Kejadian[/b][/u]
Tanggal:
Waktu:
Lokasi:
Penjelasan Kejadian:
Saksi ( Kosongkan bila tidak ada saksi ):
Bukti Kejadian ( Harus ada, berupa SS ):[/quote]
avatar
Luis Kennedy

Post : 381
Join date : 2012-08-01
Age : 19
Location : Alabama

View user profile http://www.kanzaki-gta.blogspot.com

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