1. Personal Information
1.1 Title (Mr/Miss/Mrs/Other): Answer
1.2 First Name: David
1.3 Last Name: Ortiz
1.5 Place of Birth: Mexico
1.7 Email Address: [email protected]
1.8 Residential Address (Optional): 2 Hillcrest Ave
1.10 Weight: 90 kg
Attached digital copy
1.2 First Name: David
1.3 Last Name: Ortiz
1.5 Place of Birth: Mexico
1.7 Email Address: [email protected]
1.8 Residential Address (Optional): 2 Hillcrest Ave
1.10 Weight: 90 kg
Attached digital copy
2 Reason for Resignation
2.1 End of Employment Reason: RESIGNED
2.2 End of Employment Date: 22/SEP/2023
2.3 Badge Number: #1003
2.4 Position Held: Correctional Officer I
2.5 Division: N/A
2.6 Divisional Leader?: N
2.7 Direct Supervisor: N/A
2.8 Contact Number (Optional): N/A
2.9 Desired Position: Correctional Officer I
2.10 Why should we accept you for that position?: I have been away from DOC for a quite some times and I want to show my
dedication to the department once again. I used to love being apart of the department and I have been missing the opportunity to do something that matters.
2.11 Why did your employment with the San Andreas Department of Corrections end? At the time I was exploring career paths and wanted to try something new, also didn't have as much as time as I wanted to.
2.12 Have you had any felony charges against you in the time that you were gone? Not that I am aware of.
2.13 What have you done since your resignation or termination? I haven't really done much, besides committing to Downtown Cab Company.
2.2 End of Employment Date: 22/SEP/2023
2.3 Badge Number: #1003
2.4 Position Held: Correctional Officer I
2.5 Division: N/A
2.6 Divisional Leader?: N
2.7 Direct Supervisor: N/A
2.8 Contact Number (Optional): N/A
2.9 Desired Position: Correctional Officer I
2.10 Why should we accept you for that position?: I have been away from DOC for a quite some times and I want to show my
dedication to the department once again. I used to love being apart of the department and I have been missing the opportunity to do something that matters.
2.11 Why did your employment with the San Andreas Department of Corrections end? At the time I was exploring career paths and wanted to try something new, also didn't have as much as time as I wanted to.
2.12 Have you had any felony charges against you in the time that you were gone? Not that I am aware of.
2.13 What have you done since your resignation or termination? I haven't really done much, besides committing to Downtown Cab Company.
3 Declaration
Signing date 07/JUL/2025
((4 OOC Section ))
4.1 Forum name: defly
4.2 Discord Username: defly
4.3 IRL age: 21
4.4 Timezone: UTC+3
4.5 Geographical location: Latvia
4.6 List of characters’ names: David Ortiz / Alexander Reed / Lucas Rivera
4.2 Discord Username: defly
4.3 IRL age: 21
4.4 Timezone: UTC+3
4.5 Geographical location: Latvia
4.6 List of characters’ names: David Ortiz / Alexander Reed / Lucas Rivera

