Missionary Recommendation

Denis Ricoy Bassi

Av Professor Francisco Morato, 2203
Lindoia - 113
05513-300 São Paulo - SP
Brazil

Personal Information
First Name (middle) Last Name (Legal Name) (suffix)
Carlos Eduardo Soares Perrotti
Home street address
Rua Lício Marcondes do Amaral, 172 Bl A4 Apto 124
City State or province Postal code
São Paulo SP 05616-100
Country District (if any) Airport
Brazil CGH
Periodically it may become necessary for the Missionary Department to communicate with you. Please
provide the following contact information.
Home phone (include area Mobile phone (indicate Can you receive SMS (text) messages
code) country and include area at this mobile number?
11966021201 code) Yes No
(+55) 11 966021201
E-mail address
perrottices@gmail.com
All states, provinces, or countries where you have lived recently (or for extended periods)
Florianópolis - Santa Catarina
Address where correspondence should be sent, if different from home address

City State or province Postal code

Country District (if any)

Phone (include area code) Gender

Male Female
Date of birth Confirmation date
28 Jan 1963 02 Sep 1978
Have you ever been
Widowed Divorced
Have you ever been arrested?
Yes No
Have you ever had a police record?
Yes No
Have you ever been convicted of a crime?
Yes No
(If yes to any of these, explain, including date of arrest, charge, and resolution.)

If any of your personal information will be changing prior to your mission, please explain. If your information changes after submitting your recommendation forms,
please notify your priesthood leader so he can call the Missionary Department in Salt Lake City, UT, USA.

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Missionary Recommendation
First Name (middle) Last Name (Legal Name) (suffix) Record number Date of birth (Age) Gender
Carlos Eduardo Soares Perrotti 0100000400356 28 Jan 1963 (60) Male
Citizenship Information
Citizenship at birth Place of birth (City, Birth country Current country of citizenship If dual citizenship, indicate
Brazil State/Province) Brazil Brazil second country of citizenship.
São Paulo - São
Paulo
Do you have an official birth certificate? Are you currently a documented citizen of your resident country? If no, indicate your current status in your
Yes No country of residence.
Yes No
Have you ever lived in a country while not properly If yes, please provide dates, locations, and circumstances of when you lived in a country while not properly
documented to be in that country? documented to be in that country.
Yes No
Have you ever stayed in a country beyond the time If yes, please provide dates, locations, and circumstances of when you stayed in a country beyond the time
allowed by your visa? allowed by your visa.
Yes No
Does your citizenship status impose restrictions on What are the nationalities of your ancestors?
traveling outside the country where you live? Italian, Spanish, Portuguese
Yes No
Do you have a current passport? When does your passport expire?
Yes No 01 Oct 2027
Your name as it appears on your passport. (middle) Last Name (Legal Name) (suffix)
(First) Soares Perrotti
Carlos Eduardo
Passport Number Country of Issue
FU221529 Brazil
Please provide any other information you would like to have considered regarding your citizenship. If you have multiple current passports, please provide the country and
expiration date of each passport.

Identification Information
Do you have a current driver's license? Alternate Form of I.D. I.D. Type
Yes No Yes No
Your name as it appears on your (middle) Last Name (Legal Name) (suffix) ID Number
I.D. (First) Soares Perrotti 14231730
Carlos Eduardo
Country State or province Expiration date
Brazil São Paulo 13 Feb 2028
Has your driver's license ever been suspended? If yes, please provide the date and reason for the suspension.
Yes No
Emergency Contact Information
Name Relationship
Rodrigo de Souza Perrotti Son
Address of emergency contact
Rua Lício Marcondes do Amaral, 172 Bl B4 Apto 44
City State or province Postal code
São Paulo SP 05616-100
Country District (if any) Phone of emergency contact (include area code)
Brazil 11994185335
Do you have a parent, brother, sister, son, daughter, grandson, or granddaughter currently serving a mission?
If yes, list the names, relationships, and locations of any of these relatives who are currently serving missions.

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 Life Experience

Denis Ricoy Bassi

Av Professor Francisco Morato, 2203
Lindoia - 113
05513-300 São Paulo - SP
Brazil
First Name (middle) Last Name (Legal Name) (suffix) Record number Date of birth (Age) Gender
Carlos Eduardo Soares Perrotti 0100000400356 28 Jan 1963 (60) Male
Language Information
What is your primary language?
Portuguese
Additional languages? Please select the rating that best describes your current command of the language.
If you speak another language, select it from the
1 2 3 4 5
list below.
English
If you speak another language, select it from the
1 2 3 4 5
list below.
Spanish
If you speak another language, select it from the 1 2 3 4 5
list below.

If you speak another language, select it from the 1 2 3 4 5

list below.

1 2 3 4 5

Key: 1 - Satisfy minimum courtesies (greetings)

2 - Converse simply about family and hobbies
3 - Converse about news and current events
4 - Comfortably handle professional situations
5 - Native
What language would you like your call letter printed in?
Portuguese
Indicate how interested you are in learning a language.
Very interested Interested Slightly interested Not interested
Rate how successful you feel you would be in learning a language for your mission.
Very successful Successful Slightly successful Not successful
Please express other thoughts you would like to have considered about your language skills and experience.

Education and Work Experience

How many years did you attend Did you graduate from seminary?
seminary and/or institute? Yes No
6
What is the highest level of education you have achieved?
College Degree in Law and MBA (Executive Management)
Beginning with the most recent, please provide a brief summary of your skills, education, and experience at work, at home, and in the community.
I worked for 34 years in the Seminaries and Institute program. I have had the opportunity to serve as a seminary coordinator,
institute director, and regional director. I find it easy to communicate with people. I am organized and focused on the pursuit of
goals. I help in the community programs of Helping Hands.
Special Skills and Proficiencies N = Little to No Expertise, I = Intermediate Skill, A = Advanced Skill.
Level of expertise Skill or profession Clarifications, if any
N I A
Education Administration

Music - Choir Directing

Music - Conducting

Music - Organ

Music - Piano

School Teacher - Elementary/Secondary

Level of expertise Skill or profession Clarifications, if any

N I A
School Teacher - College

School Teacher - ESL

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 Social Work

Automotive Mechanic

Building Contractor

Building Maintenance

Building Management

Carpentry

Electrician

Painter

Plumbing

Welding

Computer - Database Administration

Computer - PC Administration

Computer - Software Engineering

Computer - Spreadsheet

Computer - Word Processing

Engineer - Chemical

Engineer - Civil

Engineer - Electrical

Engineer - Mechanical

Attorney / Judge Having worked most of my time in religious

education, I became outdated in law.
Communications

Family Finances

Finance - Bookkeeping

Finance - General Accounting

Finance - Tax Accounting

Office Manager

Receptionist

Sales

Level of expertise Skill or profession Clarifications, if any

N I A
Secretary

Family History Research

Farming

Gardening

Heavy-Equipment Operator

Homemaking

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 Landscaping

Truck Driver

Dental Hygienist

Elder Care

Medical - Doctor

Medical - Licensed Practitioner Nurse

Medical - Nurse Practitioner

Medical - Paramedic

Medical - Physician Assistant

Medical - Psychiatrist

Medical - Psychologist

Medical - Registered Nurse

Medical - Pharmacist

Medical - Other

Add any profession or skills that were not listed above.

Church Callings (current and former) Check all that apply.

General Authority/Area Seventy Bishop
General auxiliary presidency Bishopric counselor
Regional Representative Branch president
Mission president Branch presidency counselor
Mission presidency counselor Ward or branch executive secretary
Temple president Ward or branch clerk
Temple presidency counselor High priests group leader
Temple recorder High priests group assistant
Temple sealer Elders quorum president
Temple ordinance worker Elders quorum presidency counselor
Stake president Ward mission leader
Stake presidency counselor Ward or stake missionary
Stake mission president Ward or branch Young Men president
Patriarch Ward or branch Young Men presidency counselor
High council Scout leader
District president Ward or branch Sunday School presidency
Stake or district executive secretary Sunday School teacher
Stake or district clerk Teacher in auxiliary organization
District presidency counselor Seminary or institute teacher
Stake or district Young Men president Family history center
Stake or district Young Men presidency counselor Family history specialist
Stake or district Sunday School presidency FamilySearch indexing
Please list the temples where you have served in a calling or as an ordinance worker.
São Paulo - Brasil
Please tell us about any other Church service that you would like to have considered.

Prior Mission Experience

Have you served other full-time missions?
Yes No
Beginning with the most recent, please tell us about each of your prior missions. To add a mission, click Add Another. To remove a mission, click Remove next to the
row to be removed.
From To In which state or country did you serve? What type of mission was it?
1981 1982 Curitiba - Brasil Tempo integral
2012 2015 Brasil Presidente de Missão

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Please provide any additional information about previous full-time mission experiences that you would like to have considered.

© 2023 by Intellectual Reserve, Inc. All rights reserved.

Life Experience
First Name (middle) Last Name (Legal Name) (suffix) Record number Date of birth (Age) Gender
Carlos Eduardo Soares Perrotti 0100000400356 28 Jan 1963 (60) Male
Military Information
Do you have current or previous military experience? Name of military organization or branch of military service
Yes No
Are you retired military?
Yes No
Are you a current member of a military reserve unit? Name of reserve organization
Yes No
Name of commanding officer

Unit mailing address City

Country

State or province Postal code

Please list any additional details about your military service that you would like to be considered.

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 Assignment Preferences

Denis Ricoy Bassi

Av Professor Francisco Morato, 2203
Lindoia - 113
05513-300 São Paulo - SP
Brazil
First Name (middle) Last Name (Legal Name) (suffix) Record number Date of birth (Age) Gender
Carlos Eduardo Soares Perrotti 0100000400356 28 Jan 1963 (60) Male
Timing
Mission calls vary in length. Please indicate the maximum amount of time you can Date available to serve
serve, understanding that you may be called to serve for a shorter duration. 10 Jan 2024
23 months 18 months 12 months 6 months
Please tell us about any limitations or special circumstances related to your term of service.

The information below (if not blank) was submitted from the Senior Missionary Website. If you would like to add or modify this information, click here to go to the Senior
Missionary Website.
We were interviewed and called by Elder William Mark Bassett to serve as directors of the Visitor's Center in São Paulo - Brazil.

© 2023 by Intellectual Reserve, Inc. All rights reserved.

 Unit Information for Missionary Candidate

Denis Ricoy Bassi

Av Professor Francisco Morato, 2203
Lindoia - 113
05513-300 São Paulo - SP
Brazil
First Name (middle) Last Name (Legal Name) (suffix) Record number Date of birth (Age) Gender
Carlos Eduardo Soares Perrotti 0100000400356 28 Jan 1963 (60) Male
Home Unit Information
Home ward or branch Unit number Home stake or mission Unit number
São Paulo 5th Ward 61573 São Paulo Brazil Stake 504572
Name of home bishop or branch president Name of home stake or mission president
Denis Ricoy Bassi Emerson Rocha de Andrade
Mailing address (including country) Mailing address (including country)
Av Professor Francisco Morato, 2203 R. Kaoru Oda, 70
Lindoia - 113 Jardim das Vertentes
05513-300 São Paulo - SP 05541-060 São Paulo - SP
Brazil Brazil
Home phone (area code) Work phone (area code) Cell phone (area code) Home phone (area code) WorkPhoneLabel Cell phone (area code)
11-8632-3328 11-9-8636-5467 11-2386-1115 11-9-6862-3791
E-mail address Fax E-mail address Fax
denbassi@gmail.com emersonrandrade@gmail.com
Submitting Unit Information (If other than home unit)
Ward or branch Unit number Stake or mission Unit number
São Paulo 5th Ward 61573 São Paulo Brazil Stake 504572
Name of bishop or branch president Name of stake or mission president
Denis Ricoy Bassi Emerson Rocha de Andrade
Mailing address (including country) Mailing address (including country)
Av Professor Francisco Morato, 2203 R. Kaoru Oda, 70
Lindoia - 113 Jardim das Vertentes
05513-300 São Paulo - SP 05541-060 São Paulo - SP
Brazil Brazil
Home phone (area code) Work phone (area code) Cell phone (area code) Home phone (area code) Work phone (area code) Cell phone (area code)
11-8632-3328 11-9-8636-5467 11-2386-1115 11-9-6862-3791
E-mail address Fax E-mail address Fax
denbassi@gmail.com emersonrandrade@gmail.com
Funding Unit Information (If other than home unit)
Ward or branch Unit number Stake or mission Unit number
São Paulo 5th Ward 61573 São Paulo Brazil Stake 504572
Name of bishop or branch president Name of stake or mission president
Denis Ricoy Bassi Emerson Rocha de Andrade
Mailing address (including country) Mailing address (including country)
Av Professor Francisco Morato, 2203 R. Kaoru Oda, 70
Lindoia - 113 Jardim das Vertentes
05513-300 São Paulo - SP 05541-060 São Paulo - SP
Brazil Brazil
Home phone (area code) Work phone (area code) Cell phone (area code) Home phone (area code) Work phone (area code) Cell phone (area code)
11-8632-3328 11-9-8636-5467 11-2386-1115 11-9-6862-3791
E-mail address Fax E-mail address Fax
denbassi@gmail.com emersonrandrade@gmail.com
Membership Unit Information (If other than home unit)
Ward or branch Unit number Stake or mission Unit number
São Paulo 5th Ward 61573 São Paulo Brazil Stake 504572
Name of bishop or branch president Name of stake or mission president
Denis Ricoy Bassi Emerson Rocha de Andrade
Mailing address (including country) Mailing address (including country)
Av Professor Francisco Morato, 2203 R. Kaoru Oda, 70
Lindoia - 113 Jardim das Vertentes
05513-300 São Paulo - SP 05541-060 São Paulo - SP
Brazil Brazil

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Home phone (area code) Work phone (area code) Cell phone (area code) Home phone (area code) Work phone (area code) Cell phone (area code)
11-8632-3328 11-9-8636-5467 11-2386-1115 11-9-6862-3791
E-mail address Fax E-mail address Fax
denbassi@gmail.com emersonrandrade@gmail.com

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 Priesthood Leaders' Comments and Suggestions

Denis Ricoy Bassi

Av Professor Francisco Morato, 2203
Lindoia - 113
05513-300 São Paulo - SP
Brazil
First Name (middle) Last Name (Legal Name) (suffix) Record number Date of birth (Age) Gender
Carlos Eduardo Soares Perrotti 0100000400356 28 Jan 1963 (60) Male
Final Evaluation (Items to be reviewed by bishop or branch president)
Check the following when they are complete:
I have reviewed all forms completed by the couple.
The candidate(s) have no dependent children living at home.
I have conducted a thorough interview and determined the candidate(s) worthy to hold a temple recommend and willing to serve where assigned.

Have the candidate(s) continuously lived outside your ward for any significant time
in the last year? (School, Military, Employment, etc.) If yes, enter the date on which you conferred with the candidate's former bishop.
No
Enter the name of the candidate's former bishop.

Bishop's or Branch President's Recommendation Provide information on the qualifications and abilities of the missionary candidate. Comment on the experience,
leadership capability, potential, interests, talents, or limitations of the candidate that should be considered in determining the mission assignment. Confidential comments
should be discussed in a separate letter.
Both Brother and Sister Perrotti are great examples of faith, righteousness, and service to the Lord for everyone in the ward. They
have great knowledge and experience in the gospel. They have a strong testimony of Christ. They know how to teach by the Spirit
and have His companionship. They are great in leadership positions in the gospel.

Please evaluate the priesthood holder's leadership capability using the scale:
Please evaluate the missionary candidate's leadership capability.
1 2 3 4 5
Low High

When you sign this form, you are stating that in your opinion this individual has a testimony of the gospel and is worthy and willing to serve a mission
wherever called. You are also confirming that you have reviewed the medical and dental information and conducted a thorough personal interview, which has
convinced you that this person is physically and emotionally able to serve a mission.
Bishop or branch president's signature Telephone (include area code) Date submitted
Signed Electronically 05 Jul 2023
Print name Unit name Unit number

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 Priesthood Leaders' Comments and Suggestions

Denis Ricoy Bassi

Av Professor Francisco Morato, 2203
Lindoia - 113
05513-300 São Paulo - SP
Brazil
First Name (middle) Last Name (Legal Name) (suffix) Record number Date of birth (Age) Gender
Carlos Eduardo Soares Perrotti 0100000400356 28 Jan 1963 (60) Male
Final Evaluation (Items to be reviewed by stake or mission president)
Check the following when they are complete:
I have reviewed all forms completed by the couple.
I have conducted a thorough interview and determined the candidate(s) worthy to hold a temple recommend and willing to serve where assigned.
The candidate(s) have no dependent children living at home.

If English is not the candidate's native language, have a native English speaker evaluate his or her English-speaking ability. The evaluators should use the following
questions to interview the candidate and select the appropriate ranking, paying particular attention to the candidate's ability to use correct verb tenses, to answer
appropriately, and to use sentences.

What did you do to prepare for your mission? What will you do on your mission to ensure that you are successful? Tell me about your favorite scripture.
Key: Nonfunctional - Does not respond to questions.
Partially Functional - Has difficulty resonding to questions; does not use complete sentences or appropriate verb tense.
Functional - Responds appropriately to questions; uses complete sentences; generally uses proper verb tense.
Fluent - Understands and speaks with near-native ability; mostly uses proper verb tenses; responds confidently.
1 2 3 4 5

No English Nonfunctional Partially Functional Functional Fluent

Stake or Mission President's Recommendation Provide information on the qualifications and abilities of the missionary candidate. Comment on the experience,
leadership capability, potential, interests, talents, or limitations of the candidate that should be considered in determining the mission assignment. Confidential comments
should be discussed in a separate letter.
The Perrotti couple are examples of service and dedication, they have served dedicatedly in various callings here in the stake,
presiding over a mission and him as an Area Seventy. we feel they will do an excellent job.

When you sign this form, you are stating that in your opinion this individual has a testimony of the gospel and is worthy and willing to serve a mission
wherever called. You are also confirming that you have reviewed the medical and dental information and conducted a thorough personal interview, which has
convinced you that this person is physically and emotionally able to serve a mission.
Stake or mission president's signature Telephone (include area code) Date submitted
Signed Electronically 11 Jul 2023
Print name Unit name Unit number

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 Priesthood Leaders' Comments and Suggestions

Denis Ricoy Bassi

Av Professor Francisco Morato, 2203
Lindoia - 113
05513-300 São Paulo - SP
Brazil
First Name (middle) Last Name (Legal Name) (suffix) Record number Date of birth (Age) Gender
Carlos Eduardo Soares Perrotti 0100000400356 28 Jan 1963 (60) Male
Area President's Recommendation Provide information on the qualifications and abilities of the missionary candidate. Comment on the experience, leadership
capability, potential, interests, talents, or limitations of the candidate that should be considered in determining the mission assignment.
t

When you sign this form, you are stating that in your opinion this individual has a testimony of the gospel and is worthy and willing to serve a mission
wherever called. You are also confirming that you have reviewed the medical and dental information and you are convinced that this person is physically and
emotionally able to serve a mission.
Area President's signature Telephone (include area code) Date submitted
Signed Electronically 11 Jul 2023
Print name Area office

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 Privacy Agreements

Denis Ricoy Bassi

Av Professor Francisco Morato, 2203
Lindoia - 113
05513-300 São Paulo - SP
Brazil
First Name (middle) Last Name (Legal Name) (suffix) Record number Date of birth (Age) Gender
Carlos Eduardo Soares Perrotti 0100000400356 28 Jan 1963 (60) Male

Authorizations, Notices, and Releases of Information

I hereby authorize The Church of Jesus Christ of Latter-day Saints, its officers, leaders, employees, affiliated entities, and departments, including (as applicable) my
mission leadership couple and my home unit priesthood leaders, such as the bishop and stake president, together with clerks and service mission leaders or coordinators
who may assist my local priesthood leaders (collectively the "Church"), to process my personal and sensitive data for purposes relating to missionary service in the
Church in accordance with the Church's Global Privacy Notice and these Privacy Agreements. (My mission leadership couple refers to the mission president and
companion, historic site president and companion, temple president and matron, and/or visitor center director and companion who oversee me, depending on my mission
assignment.).

This authorization includes the following understandings and consents:

1. The Church will have access to my personal and sensitive data, including sensitive data relating to my ethnic origin, religious
beliefs, physical and emotional health, and any criminal history, for the purposes of evaluating my missionary
recommendation, determining my missionary assignment if my recommendation is accepted, overseeing my mission, and
responding to emergencies and other circumstances that might affect my missionary service. I consent that the Church may
process my personal and sensitive data for these purposes.

2. I have informed my parents and/or caregivers that I will include some of their personal data in my missionary
recommendation.

3. My Bishop and Stake President (or Branch President, District President and Mission President, as the case may be) will
provide evaluations of my qualifications to serve as a missionary. I agree that these evaluations are related to determining
my worthiness and capacity to serve as a missionary. I understand that these evaluations are strictly confidential and I
hereby waive any right of access to these evaluations.

4. The provision of my personal data is necessary in order for the Church to process my missionary recommendation.

5. I authorize the transfer of my personal data, including sensitive data relating to my ethnic origin, religious beliefs, physical
and emotional health, and any criminal history, to Church headquarters in the State of Utah, United States of America and to
other countries with less stringent data protection laws than the country in which I reside. I understand and acknowledge that
the transfer of this information is necessary for the Church to evaluate my recommendation to serve the Church as a
missionary.

6. With the exception of ecclesiastical leaders' evaluations, I may access, upon my written request, the personal data I have
provided in connection with this missionary recommendation and I may rectify any erroneous data.

7. I understand that the Church may have occasion to film or record me in connection with my missionary service. The Church
also may have access to images and videos of me that I post on social media or on other public websites or apps while
serving as a missionary. I authorize the Church to record or copy my name, voice, image, likeness, and performance in
connection with my missionary service, and to use such recordings and copies in any way and for any purpose related to the
Church's missionary activities (including to reproduce, distribute, publish, adapt, edit, display, translate, summarize, create
derivative works from, and sublicense). I waive any right to inspect, approve, or be compensated for such recording and use.

8. If I drive or am a passenger in a Church vehicle, I authorize the Church to record telematics data, such as who is traveling,
location, movements, speed, idle time, length of stops, miles driven, fuel usage, maintenance, seat belt use, acceleration,
deceleration, rapid starts, hard turns, and accidents. Some vehicles may also record video. This data may be used as part of
the Church's Driver Accountability Program to promote safety, respond to incidents, and protect vehicles, occupants, and
others. Telematics Tracking Policy for Church-Owned Vehicles

9. I authorize the Church to share information about my missionary service at its discretion with governmental or similar
organizations for limited statistical or reporting purposes. I also authorize the Church to verify my mission assignment(s) and
my dates of service when contacted by third parties for post-mission employment verification, such as when the government
or a private employer asks to verify when/where I served as a part of a background check.

10. If I am called to a service mission, I authorize the Church to share my personal and sensitive data (including my contact
information, information pertaining to my physical and emotional health and capabilities, and information relating to the
performance of my missionary service) with any charities or civic organizations where I am assigned to volunteer as
reasonably necessary for the purpose of coordinating and managing my missionary service.

11. Upon completion of my mission, my general contact information may be included in a returned missionary directory
accessible to my former mission leadership couple(s) for the purpose of keeping us connected. I understand that I can opt

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 11.

out or limit how my contact information is shared by modifying my profile preferences as described in the Church's Global
Privacy Notice.

12. I understand that, while the Church tries hard to protect the confidentiality of my data, when I authorize my data to be shared
under these Privacy Agreements the data may be shared via telephone, email, text message or other means that potentially
could be intercepted or read by a third party.

13. The Church will retain my personal data during my mission. Although some data will be destroyed after completion of my
mission, other data may be retained indefinitely as part of the historical or other records of the Church. Some data (such as
vehicle telematics information) will be anonymized after my personal data is no longer needed. I authorize the Church to use
and retain my data in its discretion.

14. Should I have questions concerning the protection of my personal data or the security of personal data processed by the
Church, I have been advised that I may communicate my questions to the Church's representative for data privacy at
dataprivacyofficer@churchofjesuschrist.org.

Missionary Funds

I understand that all donations to the Church's missionary funds become the property of the Church to be used at the Church's sole discretion in its missionary program
and are not refundable.

Electronic Devices
The Church allows the use of technology to help me fulfill my missionary purpose. The Church may provide a device to me or I may be required to purchase a
Church-approved device, but regardless of ownership I recognize that using technology is a privilege that can be revoked. I hereby accept the responsibility to use
technology only in ways that are consistent with my missionary calling and not in any way that is obscene, defamatory, illegal, or hateful or that infringes the rights of
others. I understand that as a missionary I may have access to personal and private information of others, including non-members and members of the Church. I agree to
keep confidential all personal information contained in systems and devices to which I may have access, and commit not to share it with anyone who is not authorized.

To ensure I am using the device appropriately, I will allow the Church to inspect and monitor my use at any time. This may include: (i) tracking the movement and the
location of devices provided to me; (ii) monitoring my communications, internet searches, or downloads; (iii) remotely wiping the device of all data; or (iv) locking the
device to prevent access by unauthorized persons. I understand that if a device is wiped I may permanently lose all data that has not been backed up. I will have no
expectation of privacy when using computers or electronic devices as a missionary. I will obey all mission rules and instructions regarding use of technology, including the
use of security precautions like passwords and encryption. I agree to report a lost or stolen device to the Church immediately, to install and use only authorized software
and applications, and to abide by the terms of any licence agreements to which Church devices may be subject.

Insurance, Liability, and Medical Expense Acknowledgement

Handbook 1: Stake Presidents and Bishops indicates that all missionaries are strongly encouraged to maintain their existing medical insurance during their missions. This
conserves Church funds and helps missionaries avoid having to prove insurability after their missions. Maintaining coverage helps provide protection for past chronic or
congenital problems and post-mission medical needs. This directive is consistent with the principles of self-reliance and self-sufficiency.

Couples and single sisters ages 40 and over are responsible for their own health care expenses and must have health insurance adequate for their mission assignments.
If the insurance coverage of those living away from home is not adequate for their assignment, Deseret Mutual will send them information on additional insurance that
they may purchase. Missionaries who need additional coverage but do not enroll in the DMBA plan must provide proof of adequate coverage before their service begins.

Acknowledgement:

I understand that if I am called to a service mission, I am solely responsible for all of my medical, dental, and liability expenses.

For proselyting missionaries, I understand that if I become sick or injured during my mission, the Church may provide initial payments for my medical expenses except for
preexisting conditions. Payments in the United States will be made through Missionary Medical, a Department of Deseret Mutual Benefit Administrators (DMBA), a
not-for-profit Church affiliated entity. Payments outside the United States will be made through Aetna International and its network partners.

These payments are made from the general funds of the Church and are gratuitous and voluntary in nature. Payments are not made from a Church insurance policy and
are not intended to replace my personal health insurance.

Likewise, if I am involved in an accident while driving a Church-owned vehicle for which the Church carries insurance, but the damages attributable to me exceed the
coverage limits, the Church may seek contribution from any personal or family liability insurance policy available to me, including but not limited to automobile,
homeowner's, or general liability policies.

In either case, I understand that claims will be filed with my insurance carrier. I agree to support all recovery efforts (including assisting in claims filing and reimbursement
procedures) in the event the Church makes initial payment for medical expenses. I agree to support efforts by Missionary Medical to coordinate care directly with my
parents (when authorized for disclosure), healthcare providers, and my insurance carrier.

I understand that if I am involved in an accident that the Church neither encourages nor discourages legal action from potentially liable or responsible third parties. I agree
to reimburse the Church for expenses paid on my behalf in the event a settlement is reached or when a liable party makes payments.

I Accept I Do Not Accept

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Attached Documents
First Name (middle) Last Name (Legal Name) (suffix) Record number Date of birth (Age) Gender
Carlos Eduardo Soares Perrotti 0100000400356 28 Jan 1963 (60) Male

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Attachments:

Drivers License

On the Identification form you indicated that you have a valid driver's license. Please attach a scanned image (front and back) of your driver's license.

Description: Carteira Habilitação File name: Carlos Perrotti - CNH.pdf

Attachments:

Passport

On the Identification form you indicated that you have a valid passport. Please attach a scanned image of your passport.

Description: Passaporte File name: Carlos Perrotti - Passaporte.pdf

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 Missionary Recommendation

Denis Ricoy Bassi

Av Professor Francisco Morato, 2203
Lindoia - 113
05513-300 São Paulo - SP
Brazil

Personal Information
First Name (middle) Last Name (Legal Name) (suffix)
Lilian de Souza Perrotti
Home street address
Rua Lício Marcondes do Amaral, 172 Bl A4 Apto 124
City State or province Postal code
São Paulo SP 05616-100
Country District (if any) Airport
Brazil CGH
Periodically it may become necessary for the Missionary Department to communicate with you. Please
provide the following contact information.
Home phone (include area Mobile phone (indicate Can you receive SMS (text) messages
code) country and include area at this mobile number?
11966021201 code) Yes No
(+55) 11 970596899
E-mail address
lilianperrotti@hotmail.com
All states, provinces, or countries where you have lived recently (or for extended periods)
Florianópolis - Santa Catarina
Address where correspondence should be sent, if different from home address

City State or province Postal code

Country District (if any)

Phone (include area code) Gender

Male Female
Date of birth Confirmation date
03 Oct 1960 20 Oct 1968
Have you ever been
Widowed Divorced
Have you ever been arrested?
Yes No
Have you ever had a police record?
Yes No
Have you ever been convicted of a crime?
Yes No
(If yes to any of these, explain, including date of arrest, charge, and resolution.)

If any of your personal information will be changing prior to your mission, please explain. If your information changes after submitting your recommendation forms,
please notify your priesthood leader so he can call the Missionary Department in Salt Lake City, UT, USA.

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Missionary Recommendation
First Name (middle) Last Name (Legal Name) (suffix) Record number Date of birth (Age) Gender
Lilian de Souza Perrotti 0100000400593 03 Oct 1960 (62) Female
Citizenship Information
Citizenship at birth Place of birth (City, Birth country Current country of citizenship If dual citizenship, indicate
Brazil State/Province) Brazil Brazil second country of citizenship.
São Paulo - São
Paulo
Do you have an official birth certificate? Are you currently a documented citizen of your resident country? If no, indicate your current status in your
Yes No country of residence.
Yes No
Have you ever lived in a country while not properly If yes, please provide dates, locations, and circumstances of when you lived in a country while not properly
documented to be in that country? documented to be in that country.
Yes No
Have you ever stayed in a country beyond the time If yes, please provide dates, locations, and circumstances of when you stayed in a country beyond the time
allowed by your visa? allowed by your visa.
Yes No
Does your citizenship status impose restrictions on What are the nationalities of your ancestors?
traveling outside the country where you live? Italian, Spanish
Yes No
Do you have a current passport? When does your passport expire?
Yes No 01 Oct 2027
Your name as it appears on your passport. (middle) Last Name (Legal Name) (suffix)
(First) De Souza Perrotti
Lilian
Passport Number Country of Issue
FU222681 Brazil
Please provide any other information you would like to have considered regarding your citizenship. If you have multiple current passports, please provide the country and
expiration date of each passport.

Identification Information
Do you have a current driver's license? Alternate Form of I.D. I.D. Type
Yes No Yes No
Your name as it appears on your (middle) Last Name (Legal Name) (suffix) ID Number
I.D. (First) Perrotti 11814582
Lilian de Souza
Country State or province Expiration date
Brazil São Paulo 13 Nov 2025
Has your driver's license ever been suspended? If yes, please provide the date and reason for the suspension.
Yes No
Emergency Contact Information
Name Relationship
Rodrigo de Souza Perrotti Son
Address of emergency contact
Rua Lício Marcondes do Amaral, 172 Bl B4 Apto 44
City State or province Postal code
São Paulo SP 05616-100
Country District (if any) Phone of emergency contact (include area code)
Brazil 11994185335
Do you have a parent, brother, sister, son, daughter, grandson, or granddaughter currently serving a mission?
If yes, list the names, relationships, and locations of any of these relatives who are currently serving missions.

© 2023 by Intellectual Reserve, Inc. All rights reserved.

 Life Experience

Denis Ricoy Bassi

Av Professor Francisco Morato, 2203
Lindoia - 113
05513-300 São Paulo - SP
Brazil
First Name (middle) Last Name (Legal Name) (suffix) Record number Date of birth (Age) Gender
Lilian de Souza Perrotti 0100000400593 03 Oct 1960 (62) Female
Language Information
What is your primary language?
Portuguese
Additional languages? Please select the rating that best describes your current command of the language.
If you speak another language, select it from the 1 2 3 4 5
list below.

If you speak another language, select it from the 1 2 3 4 5

list below.

If you speak another language, select it from the 1 2 3 4 5

list below.

If you speak another language, select it from the 1 2 3 4 5

list below.

1 2 3 4 5

Key: 1 - Satisfy minimum courtesies (greetings)

2 - Converse simply about family and hobbies
3 - Converse about news and current events
4 - Comfortably handle professional situations
5 - Native
What language would you like your call letter printed in?
Portuguese
Indicate how interested you are in learning a language.
Very interested Interested Slightly interested Not interested
Rate how successful you feel you would be in learning a language for your mission.
Very successful Successful Slightly successful Not successful
Please express other thoughts you would like to have considered about your language skills and experience.

Education and Work Experience

How many years did you attend Did you graduate from seminary?
seminary and/or institute? Yes No
6
What is the highest level of education you have achieved?
College Degree in Pedagogy
Beginning with the most recent, please provide a brief summary of your skills, education, and experience at work, at home, and in the community.
I worked as an elementary school teacher for many years, teaching literacy to children, teaching math and other classes in
general. In the community, I participate in the initiatives of Helping Hands. I'm a mother of three children whom I have
accompanied and followed their development.
Special Skills and Proficiencies N = Little to No Expertise, I = Intermediate Skill, A = Advanced Skill.
Level of expertise Skill or profession Clarifications, if any
N I A
Education Administration

Music - Choir Directing

Music - Conducting

Music - Organ

Music - Piano

School Teacher - Elementary/Secondary

Level of expertise Skill or profession Clarifications, if any

N I A
School Teacher - College

School Teacher - ESL

Social Work

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 Automotive Mechanic

Building Contractor

Building Maintenance

Building Management

Carpentry

Electrician

Painter

Plumbing

Welding

Computer - Database Administration

Computer - PC Administration

Computer - Software Engineering

Computer - Spreadsheet

Computer - Word Processing

Engineer - Chemical

Engineer - Civil

Engineer - Electrical

Engineer - Mechanical

Attorney / Judge

Communications

Family Finances

Finance - Bookkeeping

Finance - General Accounting

Finance - Tax Accounting

Office Manager

Receptionist

Sales

Level of expertise Skill or profession Clarifications, if any

N I A
Secretary

Family History Research

Farming

Gardening

Heavy-Equipment Operator

Homemaking

Landscaping

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 Truck Driver

Dental Hygienist

Elder Care

Medical - Doctor

Medical - Licensed Practitioner Nurse

Medical - Nurse Practitioner

Medical - Paramedic

Medical - Physician Assistant

Medical - Psychiatrist

Medical - Psychologist

Medical - Registered Nurse

Medical - Pharmacist

Medical - Other

Add any profession or skills that were not listed above.

Church Callings (current and former) Check all that apply.

General auxiliary presidency Ward or branch Young Women presidency counselor
Temple matron Ward or branch Primary president
Assistant temple matron Ward or branch Primary presidency counselor
Temple ordinance worker Compassionate service leader
Stake or district Relief Society president Visiting teaching coordinator
Stake or district Relief Society presidency counselor Ward or stake missionary
Stake or district Young Women president Scout leader
Stake or district Young Women presidency counselor Sunday School teacher
Stake or district Primary president Teacher in auxiliary organization
Stake or district Primary presidency counselor Seminary or institute teacher
Ward or branch Relief Society president Family history center
Ward or branch Relief Society presidency counselor Family history specialist
Ward or branch Young Women president FamilySearch indexing
Please list the temples where you have served in a calling or as an ordinance worker.
São Paulo Brasil
Please tell us about any other Church service that you would like to have considered.

Prior Mission Experience

Have you served other full-time missions?
Yes No
Beginning with the most recent, please tell us about each of your prior missions. To add a mission, click Add Another. To remove a mission, click Remove next to the
row to be removed.
From To In which state or country did you serve? What type of mission was it?
2012 2015 Brasil Esposa - Presidente de Missão

Please provide any additional information about previous full-time mission experiences that you would like to have considered.

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Life Experience
First Name (middle) Last Name (Legal Name) (suffix) Record number Date of birth (Age) Gender
Lilian de Souza Perrotti 0100000400593 03 Oct 1960 (62) Female
Military Information
Do you have current or previous military experience? Name of military organization or branch of military service
Yes No
Are you retired military?
Yes No
Are you a current member of a military reserve unit? Name of reserve organization
Yes No
Name of commanding officer

Unit mailing address City

Country

State or province Postal code

Please list any additional details about your military service that you would like to be considered.

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 Assignment Preferences

Denis Ricoy Bassi

Av Professor Francisco Morato, 2203
Lindoia - 113
05513-300 São Paulo - SP
Brazil
First Name (middle) Last Name (Legal Name) (suffix) Record number Date of birth (Age) Gender
Lilian de Souza Perrotti 0100000400593 03 Oct 1960 (62) Female
Timing
Mission calls vary in length. Please indicate the maximum amount of time you can Date available to serve
serve, understanding that you may be called to serve for a shorter duration. 10 Jan 2024
23 months 18 months 12 months 6 months
Please tell us about any limitations or special circumstances related to your term of service.

The information below (if not blank) was submitted from the Senior Missionary Website. If you would like to add or modify this information, click here to go to the Senior
Missionary Website.
We were interviewed and called by Elder William Mark Bassett to serve as directors of the Visitor's Center in São Paulo - Brazil.

© 2023 by Intellectual Reserve, Inc. All rights reserved.

 Unit Information for Missionary Candidate

Denis Ricoy Bassi

Av Professor Francisco Morato, 2203
Lindoia - 113
05513-300 São Paulo - SP
Brazil
First Name (middle) Last Name (Legal Name) (suffix) Record number Date of birth (Age) Gender
Lilian de Souza Perrotti 0100000400593 03 Oct 1960 (62) Female
Home Unit Information
Home ward or branch Unit number Home stake or mission Unit number
São Paulo 5th Ward 61573 São Paulo Brazil Stake 504572
Name of home bishop or branch president Name of home stake or mission president
Denis Ricoy Bassi Emerson Rocha de Andrade
Mailing address (including country) Mailing address (including country)
Av Professor Francisco Morato, 2203 R. Kaoru Oda, 70
Lindoia - 113 Jardim das Vertentes
05513-300 São Paulo - SP 05541-060 São Paulo - SP
Brazil Brazil
Home phone (area code) Work phone (area code) Cell phone (area code) Home phone (area code) WorkPhoneLabel Cell phone (area code)
11-8632-3328 11-9-8636-5467 11-2386-1115 11-9-6862-3791
E-mail address Fax E-mail address Fax
denbassi@gmail.com emersonrandrade@gmail.com
Submitting Unit Information (If other than home unit)
Ward or branch Unit number Stake or mission Unit number
São Paulo 5th Ward 61573 São Paulo Brazil Stake 504572
Name of bishop or branch president Name of stake or mission president
Denis Ricoy Bassi Emerson Rocha de Andrade
Mailing address (including country) Mailing address (including country)
Av Professor Francisco Morato, 2203 R. Kaoru Oda, 70
Lindoia - 113 Jardim das Vertentes
05513-300 São Paulo - SP 05541-060 São Paulo - SP
Brazil Brazil
Home phone (area code) Work phone (area code) Cell phone (area code) Home phone (area code) Work phone (area code) Cell phone (area code)
11-8632-3328 11-9-8636-5467 11-2386-1115 11-9-6862-3791
E-mail address Fax E-mail address Fax
denbassi@gmail.com emersonrandrade@gmail.com
Funding Unit Information (If other than home unit)
Ward or branch Unit number Stake or mission Unit number
São Paulo 5th Ward 61573 São Paulo Brazil Stake 504572
Name of bishop or branch president Name of stake or mission president
Denis Ricoy Bassi Emerson Rocha de Andrade
Mailing address (including country) Mailing address (including country)
Av Professor Francisco Morato, 2203 R. Kaoru Oda, 70
Lindoia - 113 Jardim das Vertentes
05513-300 São Paulo - SP 05541-060 São Paulo - SP
Brazil Brazil
Home phone (area code) Work phone (area code) Cell phone (area code) Home phone (area code) Work phone (area code) Cell phone (area code)
11-8632-3328 11-9-8636-5467 11-2386-1115 11-9-6862-3791
E-mail address Fax E-mail address Fax
denbassi@gmail.com emersonrandrade@gmail.com
Membership Unit Information (If other than home unit)
Ward or branch Unit number Stake or mission Unit number
São Paulo 5th Ward 61573 São Paulo Brazil Stake 504572
Name of bishop or branch president Name of stake or mission president
Denis Ricoy Bassi Emerson Rocha de Andrade
Mailing address (including country) Mailing address (including country)
Av Professor Francisco Morato, 2203 R. Kaoru Oda, 70
Lindoia - 113 Jardim das Vertentes
05513-300 São Paulo - SP 05541-060 São Paulo - SP
Brazil Brazil

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Home phone (area code) Work phone (area code) Cell phone (area code) Home phone (area code) Work phone (area code) Cell phone (area code)
11-8632-3328 11-9-8636-5467 11-2386-1115 11-9-6862-3791
E-mail address Fax E-mail address Fax
denbassi@gmail.com emersonrandrade@gmail.com

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 Priesthood Leaders' Comments and Suggestions

Denis Ricoy Bassi

Av Professor Francisco Morato, 2203
Lindoia - 113
05513-300 São Paulo - SP
Brazil
First Name (middle) Last Name (Legal Name) (suffix) Record number Date of birth (Age) Gender
Lilian de Souza Perrotti 0100000400593 03 Oct 1960 (62) Female
Final Evaluation (Items to be reviewed by bishop or branch president)
Check the following when they are complete:
I have reviewed all forms completed by the couple.
The candidate(s) have no dependent children living at home.
I have conducted a thorough interview and determined the candidate(s) worthy to hold a temple recommend and willing to serve where assigned.

Have the candidate(s) continuously lived outside your ward for any significant time
in the last year? (School, Military, Employment, etc.) If yes, enter the date on which you conferred with the candidate's former bishop.
No
Enter the name of the candidate's former bishop.

Bishop's or Branch President's Recommendation Provide information on the qualifications and abilities of the missionary candidate. Comment on the experience,
leadership capability, potential, interests, talents, or limitations of the candidate that should be considered in determining the mission assignment. Confidential comments
should be discussed in a separate letter.
Both Brother and Sister Perrotti are great examples of faith, righteousness, and service to the Lord for everyone in the ward. They
have great knowledge and experience in the gospel. They have a strong testimony of Christ. They know how to teach by the Spirit
and have His companionship. They are great in leadership positions in the gospel.

When you sign this form, you are stating that in your opinion this individual has a testimony of the gospel and is worthy and willing to serve a mission
wherever called. You are also confirming that you have reviewed the medical and dental information and conducted a thorough personal interview, which has
convinced you that this person is physically and emotionally able to serve a mission.
Bishop or branch president's signature Telephone (include area code) Date submitted
Signed Electronically 05 Jul 2023
Print name Unit name Unit number

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 Priesthood Leaders' Comments and Suggestions

Denis Ricoy Bassi

Av Professor Francisco Morato, 2203
Lindoia - 113
05513-300 São Paulo - SP
Brazil
First Name (middle) Last Name (Legal Name) (suffix) Record number Date of birth (Age) Gender
Lilian de Souza Perrotti 0100000400593 03 Oct 1960 (62) Female
Final Evaluation (Items to be reviewed by stake or mission president)
Check the following when they are complete:
I have reviewed all forms completed by the couple.
I have conducted a thorough interview and determined the candidate(s) worthy to hold a temple recommend and willing to serve where assigned.
The candidate(s) have no dependent children living at home.

If English is not the candidate's native language, have a native English speaker evaluate his or her English-speaking ability. The evaluators should use the following
questions to interview the candidate and select the appropriate ranking, paying particular attention to the candidate's ability to use correct verb tenses, to answer
appropriately, and to use sentences.

What did you do to prepare for your mission? What will you do on your mission to ensure that you are successful? Tell me about your favorite scripture.
Key: Nonfunctional - Does not respond to questions.
Partially Functional - Has difficulty resonding to questions; does not use complete sentences or appropriate verb tense.
Functional - Responds appropriately to questions; uses complete sentences; generally uses proper verb tense.
Fluent - Understands and speaks with near-native ability; mostly uses proper verb tenses; responds confidently.
1 2 3 4 5

No English Nonfunctional Partially Functional Functional Fluent

Stake or Mission President's Recommendation Provide information on the qualifications and abilities of the missionary candidate. Comment on the experience,
leadership capability, potential, interests, talents, or limitations of the candidate that should be considered in determining the mission assignment. Confidential comments
should be discussed in a separate letter.
The Perrotti couple are examples of service and dedication, they have served dedicatedly in various callings here in the stake,
presiding over a mission and him as an Area Seventy. we feel they will do an excellent job.

When you sign this form, you are stating that in your opinion this individual has a testimony of the gospel and is worthy and willing to serve a mission
wherever called. You are also confirming that you have reviewed the medical and dental information and conducted a thorough personal interview, which has
convinced you that this person is physically and emotionally able to serve a mission.
Stake or mission president's signature Telephone (include area code) Date submitted
Signed Electronically 11 Jul 2023
Print name Unit name Unit number

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 Priesthood Leaders' Comments and Suggestions

Denis Ricoy Bassi

Av Professor Francisco Morato, 2203
Lindoia - 113
05513-300 São Paulo - SP
Brazil
First Name (middle) Last Name (Legal Name) (suffix) Record number Date of birth (Age) Gender
Lilian de Souza Perrotti 0100000400593 03 Oct 1960 (62) Female
Area President's Recommendation Provide information on the qualifications and abilities of the missionary candidate. Comment on the experience, leadership
capability, potential, interests, talents, or limitations of the candidate that should be considered in determining the mission assignment.
t

When you sign this form, you are stating that in your opinion this individual has a testimony of the gospel and is worthy and willing to serve a mission
wherever called. You are also confirming that you have reviewed the medical and dental information and you are convinced that this person is physically and
emotionally able to serve a mission.
Area President's signature Telephone (include area code) Date submitted
Signed Electronically 11 Jul 2023
Print name Area office

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 Privacy Agreements

Denis Ricoy Bassi

Av Professor Francisco Morato, 2203
Lindoia - 113
05513-300 São Paulo - SP
Brazil
First Name (middle) Last Name (Legal Name) (suffix) Record number Date of birth (Age) Gender
Lilian de Souza Perrotti 0100000400593 03 Oct 1960 (62) Female

Authorizations, Notices, and Releases of Information

I hereby authorize The Church of Jesus Christ of Latter-day Saints, its officers, leaders, employees, affiliated entities, and departments, including (as applicable) my
mission leadership couple and my home unit priesthood leaders, such as the bishop and stake president, together with clerks and service mission leaders or coordinators
who may assist my local priesthood leaders (collectively the "Church"), to process my personal and sensitive data for purposes relating to missionary service in the
Church in accordance with the Church's Global Privacy Notice and these Privacy Agreements. (My mission leadership couple refers to the mission president and
companion, historic site president and companion, temple president and matron, and/or visitor center director and companion who oversee me, depending on my mission
assignment.).

This authorization includes the following understandings and consents:

1. The Church will have access to my personal and sensitive data, including sensitive data relating to my ethnic origin, religious
beliefs, physical and emotional health, and any criminal history, for the purposes of evaluating my missionary
recommendation, determining my missionary assignment if my recommendation is accepted, overseeing my mission, and
responding to emergencies and other circumstances that might affect my missionary service. I consent that the Church may
process my personal and sensitive data for these purposes.

2. I have informed my parents and/or caregivers that I will include some of their personal data in my missionary
recommendation.

3. My Bishop and Stake President (or Branch President, District President and Mission President, as the case may be) will
provide evaluations of my qualifications to serve as a missionary. I agree that these evaluations are related to determining
my worthiness and capacity to serve as a missionary. I understand that these evaluations are strictly confidential and I
hereby waive any right of access to these evaluations.

4. The provision of my personal data is necessary in order for the Church to process my missionary recommendation.

5. I authorize the transfer of my personal data, including sensitive data relating to my ethnic origin, religious beliefs, physical
and emotional health, and any criminal history, to Church headquarters in the State of Utah, United States of America and to
other countries with less stringent data protection laws than the country in which I reside. I understand and acknowledge that
the transfer of this information is necessary for the Church to evaluate my recommendation to serve the Church as a
missionary.

6. With the exception of ecclesiastical leaders' evaluations, I may access, upon my written request, the personal data I have
provided in connection with this missionary recommendation and I may rectify any erroneous data.

7. I understand that the Church may have occasion to film or record me in connection with my missionary service. The Church
also may have access to images and videos of me that I post on social media or on other public websites or apps while
serving as a missionary. I authorize the Church to record or copy my name, voice, image, likeness, and performance in
connection with my missionary service, and to use such recordings and copies in any way and for any purpose related to the
Church's missionary activities (including to reproduce, distribute, publish, adapt, edit, display, translate, summarize, create
derivative works from, and sublicense). I waive any right to inspect, approve, or be compensated for such recording and use.

8. If I drive or am a passenger in a Church vehicle, I authorize the Church to record telematics data, such as who is traveling,
location, movements, speed, idle time, length of stops, miles driven, fuel usage, maintenance, seat belt use, acceleration,
deceleration, rapid starts, hard turns, and accidents. Some vehicles may also record video. This data may be used as part of
the Church's Driver Accountability Program to promote safety, respond to incidents, and protect vehicles, occupants, and
others. Telematics Tracking Policy for Church-Owned Vehicles

9. I authorize the Church to share information about my missionary service at its discretion with governmental or similar
organizations for limited statistical or reporting purposes. I also authorize the Church to verify my mission assignment(s) and
my dates of service when contacted by third parties for post-mission employment verification, such as when the government
or a private employer asks to verify when/where I served as a part of a background check.

10. If I am called to a service mission, I authorize the Church to share my personal and sensitive data (including my contact
information, information pertaining to my physical and emotional health and capabilities, and information relating to the
performance of my missionary service) with any charities or civic organizations where I am assigned to volunteer as
reasonably necessary for the purpose of coordinating and managing my missionary service.

11. Upon completion of my mission, my general contact information may be included in a returned missionary directory
accessible to my former mission leadership couple(s) for the purpose of keeping us connected. I understand that I can opt

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 11.

out or limit how my contact information is shared by modifying my profile preferences as described in the Church's Global
Privacy Notice.

12. I understand that, while the Church tries hard to protect the confidentiality of my data, when I authorize my data to be shared
under these Privacy Agreements the data may be shared via telephone, email, text message or other means that potentially
could be intercepted or read by a third party.

13. The Church will retain my personal data during my mission. Although some data will be destroyed after completion of my
mission, other data may be retained indefinitely as part of the historical or other records of the Church. Some data (such as
vehicle telematics information) will be anonymized after my personal data is no longer needed. I authorize the Church to use
and retain my data in its discretion.

14. Should I have questions concerning the protection of my personal data or the security of personal data processed by the
Church, I have been advised that I may communicate my questions to the Church's representative for data privacy at
dataprivacyofficer@churchofjesuschrist.org.

Missionary Funds

I understand that all donations to the Church's missionary funds become the property of the Church to be used at the Church's sole discretion in its missionary program
and are not refundable.

Electronic Devices
The Church allows the use of technology to help me fulfill my missionary purpose. The Church may provide a device to me or I may be required to purchase a
Church-approved device, but regardless of ownership I recognize that using technology is a privilege that can be revoked. I hereby accept the responsibility to use
technology only in ways that are consistent with my missionary calling and not in any way that is obscene, defamatory, illegal, or hateful or that infringes the rights of
others. I understand that as a missionary I may have access to personal and private information of others, including non-members and members of the Church. I agree to
keep confidential all personal information contained in systems and devices to which I may have access, and commit not to share it with anyone who is not authorized.

To ensure I am using the device appropriately, I will allow the Church to inspect and monitor my use at any time. This may include: (i) tracking the movement and the
location of devices provided to me; (ii) monitoring my communications, internet searches, or downloads; (iii) remotely wiping the device of all data; or (iv) locking the
device to prevent access by unauthorized persons. I understand that if a device is wiped I may permanently lose all data that has not been backed up. I will have no
expectation of privacy when using computers or electronic devices as a missionary. I will obey all mission rules and instructions regarding use of technology, including the
use of security precautions like passwords and encryption. I agree to report a lost or stolen device to the Church immediately, to install and use only authorized software
and applications, and to abide by the terms of any licence agreements to which Church devices may be subject.

Insurance, Liability, and Medical Expense Acknowledgement

Handbook 1: Stake Presidents and Bishops indicates that all missionaries are strongly encouraged to maintain their existing medical insurance during their missions. This
conserves Church funds and helps missionaries avoid having to prove insurability after their missions. Maintaining coverage helps provide protection for past chronic or
congenital problems and post-mission medical needs. This directive is consistent with the principles of self-reliance and self-sufficiency.

Couples and single sisters ages 40 and over are responsible for their own health care expenses and must have health insurance adequate for their mission assignments.
If the insurance coverage of those living away from home is not adequate for their assignment, Deseret Mutual will send them information on additional insurance that
they may purchase. Missionaries who need additional coverage but do not enroll in the DMBA plan must provide proof of adequate coverage before their service begins.

Acknowledgement:

I understand that if I am called to a service mission, I am solely responsible for all of my medical, dental, and liability expenses.

For proselyting missionaries, I understand that if I become sick or injured during my mission, the Church may provide initial payments for my medical expenses except for
preexisting conditions. Payments in the United States will be made through Missionary Medical, a Department of Deseret Mutual Benefit Administrators (DMBA), a
not-for-profit Church affiliated entity. Payments outside the United States will be made through Aetna International and its network partners.

These payments are made from the general funds of the Church and are gratuitous and voluntary in nature. Payments are not made from a Church insurance policy and
are not intended to replace my personal health insurance.

Likewise, if I am involved in an accident while driving a Church-owned vehicle for which the Church carries insurance, but the damages attributable to me exceed the
coverage limits, the Church may seek contribution from any personal or family liability insurance policy available to me, including but not limited to automobile,
homeowner's, or general liability policies.

In either case, I understand that claims will be filed with my insurance carrier. I agree to support all recovery efforts (including assisting in claims filing and reimbursement
procedures) in the event the Church makes initial payment for medical expenses. I agree to support efforts by Missionary Medical to coordinate care directly with my
parents (when authorized for disclosure), healthcare providers, and my insurance carrier.

I understand that if I am involved in an accident that the Church neither encourages nor discourages legal action from potentially liable or responsible third parties. I agree
to reimburse the Church for expenses paid on my behalf in the event a settlement is reached or when a liable party makes payments.

I Accept I Do Not Accept

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Attached Documents
First Name (middle) Last Name (Legal Name) (suffix) Record number Date of birth (Age) Gender
Lilian de Souza Perrotti 0100000400593 03 Oct 1960 (62) Female

© 2023 by Intellectual Reserve, Inc. All rights reserved.

Attachments:

Drivers License

On the Identification form you indicated that you have a valid driver's license. Please attach a scanned image (front and back) of your driver's license.

Description: Carteira Habilitação File name: Lilian Perrotti - CNH.pdf

Attachments:

Passport

On the Identification form you indicated that you have a valid passport. Please attach a scanned image of your passport.

Description: Passaporte File name: Lilian Perrotti - Passaporte.pdf

© 2023 by Intellectual Reserve, Inc. All rights reserved.