Los Santos Fire Department

• A1. First Name
  • Mociwta
  A2. Middle Name (If not applicable, please fill with N/A)
  • Ruby
  A3. Last Name
  • Amethyst
  A4. Date of Birth
  • 13/08/2003
  A5. Place of Birth
  • Dublin, Ireland
  A6. Gender
  • Female
  A7. Residential Address
  • Street Number & Name: 551 Kimble Hill Dr
    City: Los Santos
    State: San Andreas
    Postal Code (If applicable): 551
  A8. Phone Number
  • 462-1961
  A9. Blood Type:
  • O+
  A10. Weight (in kilograms):
  • 52
  A11. Height (in centimeters):
  • 167
  A12. Do you possess a valid ID card within State of Los Santos?

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  A13. Do you possess a valid driver's license within State of Los Santos?

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• B1. Do you have any physical or mental conditions that could hinder you from working in the Department? If so, elaborate:
  • N/A
  B2. Have you ever received any traffic/infraction citations from Los Santos Police Department? If so, elaborate:
  • N/A
  B3. Please show your criminal background check result :

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• C1. What is your last education? (Put "✓" mark on the answer)
  • [ - ] High School or GED
    [ - ] Associate's Degree
    [ ✓ ] Bachelor's Degree
    [ - ] Master's Degree
    [ - ] Doctorates
    [ - ] Other
  C2. If you choose other, please describe your last education: N/A
  C3. Your last education attendance
  • School/Institution Name: Los Santos University
    Enrollment Term: 14/06/2021 to 21/08/2024
    Major Course of Study: Medical Doctor
  C4. Have you ever worked for any Government Agency before? If yes, which one?
  • N/A
  C5. Have you ever been working for any Non-Government Agency?:
  • Yes
  C6. If yes to C5, state your job details down below
  • Name of Company: Agro Ventura Corp
    Reason for Dismissal/Discharge: N/A
    Rank or Position: Farmer
    Length of Employment: 05/05/2026 to Present

• E1. Full Name
  • Rosyidah
  
  E2. Location
  • Jawa Barat
  E3. Place, Date of Birth
  • Bandung, 13/08/2003
  E4. List of UCP (If you have more than one UCP, mention all of them in the list!)
  • ciwaa
  E5. List of Characters (with level):
  • Mociwta Amethyst (6)
  E6. JGRP Forum Account (with URL):
  • Abdurrohman Muhaemin
  E7. How long have you been playing in Jogjagamers Roleplay?
  • 1 year
  E8. Where do you play RAGEMP? (Put "✓" mark on the answer)
  • [ ✓ ] Home
    [ - ] Gamenet
    [ - ] Other
  E9. Have you been in a faction before? If so, mention your last rank and elaborate why did you out at that point
  • N/A
  E10. Do you have WhatsApp, TeamSpeak and Discord installed on your computer/phone?
  • Yes, i have
  E11. Post a screenshot of an unedited version of your /stats for ALL of your characters:

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  Mociwta Amethyst

  E12. Post a screenshot of an unedited version of your Forum Association inside UCP Settings:

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By submitting this Application I acknowledge that my roleplaying standards must be outstanding and I need to act more as a role models for the community than the average players. I understand and accept the fact that if proved any OOC lying has taken place in my application, I am responsible and will face recruitment or even admin disciplinary for OOC lying in a formal application. I hereby claim in this application is 100% accuracy and honesty. I take full responsibility for any recruitment policy violation.

Date: 21/05/2026
ciwaa