Share
Go down
avatar
Posts : 3
Join date : 2018-09-24
Age : 17
Location : Sukra Wetan, Sukra, Indramayu, Jawa Barat, Indonesia.
View user profile

[INFO] Reinstatement Request Form

on Tue Sep 25, 2018 5:28 pm
San Andreas Medical & Fire Department - Reinstatement Request Form


Reinstatement Request
Judul: [Reinstatement] Firstname_Lastname

Spoiler:
A. Personal Information


    A1. Full Name: <Answer here>
    A2. Place of Birth: <Answer here>
    A3. Date of Birth: <Answer here>
    A4. Gender: <Answer here>
    A5. Contact Number: <Answer here>
    A6. Contact Email: <Answer here>
    A7. Nationality: <Answer here>




B. Employment History

    B1. What is your previous position?: <Answer here>
    B2. Why did you leave the department?: <Answer here>
    B3. Why did you want to reinstate?: <Answer here>
    B4. Have you been working while away from the department?: <Answer here>
    B5. If yes to B4, state your job: <Answer here>




(( C. OOC Section ))

    C1. Full Name: <Answer here>
    C2. Age: <Answer here>
    C4. Why did you leave the department?: <Answer here>
    C5. Why did you want to reinstate?: <Answer here>
    C6. What have you been doing as normal LSRP - IND player since your discharge?: <Answer here>
    C7. Attach a link to your LSRP - IND forum account: <Answer here>
    C8. Attach a link to your discharge thread: <Answer here>
    C9. Attach a screenshot of an unedited version of your /mywarns:
    Spoiler:

Code:
[center][img]http://i68.tinypic.com/358peli.jpg[/img][/center]
[center][b][size=16]San Andreas Medical & Fire Department - Reinstatement Request Form[/size][/b]


[b][font=Times New Roman][size=18]Reinstatement Request[/size][/font][/b]
[size=16]Judul: [Reinstatement] Firstname_Lastname[/size]

[spoiler][size=24][u][b][font=Times New Roman]A. Personal Information[/font][/b][/u][/size]
[list]

[b][color=#bf4000]A1.[/color] Full Name:[/b] <Answer here>
[b][color=#bf4000]A2.[/color] Place of Birth:[/b] <Answer here>
[b][color=#bf4000]A3.[/color] Date of Birth:[/b] <Answer here>
[b][color=#bf4000]A4.[/color] Gender:[/b] <Answer here>
[b][color=#bf4000]A5.[/color] Contact Number:[/b] <Answer here>
[b][color=#bf4000]A6.[/color] Contact Email:[/b] <Answer here>
[b][color=#bf4000]A7.[/color] Nationality:[/b] <Answer here>[/list]
[hr]

[size=24][u][b][font=Times New Roman]B. Employment History[/font][/b][/u][/size]

[list][b][color=#bf4000]B1.[/color] What is your previous position?:[/b] <Answer here>
[b][color=#bf4000]B2.[/color] Why did you leave the department?:[/b] <Answer here>
[b][color=#bf4000]B3.[/color] Why did you want to reinstate?:[/b] <Answer here>
[b][color=#bf4000]B4.[/color] Have you been working while away from the department?:[/b] <Answer here>
[b][color=#bf4000]B5.[/color] If yes to [color=#bf4000]B4[/color], state your job:[/b] <Answer here>[/list]
[hr]

[size=24][u][b][font=Times New Roman](( C. OOC Section ))[/font][/b][/u][/size]

[list][b][color=#bf4000]C1.[/color] Full Name:[/b] <Answer here>
[b][color=#bf4000]C2.[/color] Age:[/b] <Answer here>
[b][color=#bf4000]C4.[/color] Why did you leave the department?:[/b] <Answer here>
[b][color=#bf4000]C5.[/color] Why did you want to reinstate?:[/b] <Answer here>
[b][color=#bf4000]C6.[/color] What have you been doing as normal LSRP - IND player since your discharge?:[/b] <Answer here>
[b][color=#bf4000]C7.[/color] Attach a link to your LSRP - IND forum account:[/b] <Answer here>
[b][color=#bf4000]C8.[/color] Attach a link to your discharge thread:[/b] <Answer here>
[b][color=#bf4000]C9.[/color] Attach a screenshot of an unedited version of your /mywarns:[/b]
[spoiler][img]<Answer here>[/img][/spoiler][/list][/spoiler]

_________________
Deputy Commissioner  Yuna Ryoko
Deputy of Chief
San Andreas Medic Department---We treat the disease you suffer from
Back to top
Permissions in this forum:
You cannot reply to topics in this forum