RELATED PERSON (PERSONAL DATA SUBJECT)

APPLICATION FORM ON THE PROTECTION OF PERSONAL DATA

You can make an application to us regarding the following requests within the scope of your rights listed in Article 11 of the Law on the Protection of Personal Data No. 6698 (“Law”), using the methods and procedures described in this Form.

You can exercise these rights with the following methods and forms.

METHOD/PROCEDURE

ADDRESS

EXPLANATION

Written Application

It can be done in person with a wet signature letter or through the Notary Channel.

ERSIN AYDIN

“Ataköy 7,8,9,10. Kısım Mah. Çobançeşme E-5 Yan Yol Cad.
Ataköy Towers 20/1 A-Blok Floor: 14 Suite Number: 174
Bakırköy/İstanbul/Turkey”

Relevant information and documents in this form will be specified and necessary action will be taken, and “KVKK Related Person Application” will be written on the envelope/notification of the application form.

Application by Registered Electronic Mail (KEP)

It can be done through a registered e-mail (KEP) address.

*-*

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In the KEP post relevant information and documents in this form will be specified and necessary action will be taken, and “KVKK Related Person Application” will be written on the subject part.

Application by Electronic Mail (E-Mail)

It can be done with an e-mail created to include a mobile signature/e-signature .

drersinaydinklinigi@gmail.com

In the content of e-mail relevant information and documents in this form will be specified and necessary action will be taken, and “KVKK Related Person Application” will be written on the subject part.

If you apply to us in accordance with the procedures and principles set forth in this form; Your requests will be concluded free of charge as soon as possible and within thirty days at the latest, depending on application’s nature. However, in case the transaction requires an additional cost, the fee in the tariff determined by the Personal Data Protection Board may be charged.

Our response will be delivered to you in writing or electronically. Therefore, please indicate the channel you want us to reach you and the relevant information as follows.

Name

Last name

R.T. ID Number

Telephone

Address

KEP Address:

E-mail

I request that the answer be sent to me by the method I specified below (Please choose one)

KEP

E-mail

Address (Courier)

In order to evaluate your application, please indicate your relationship with our company by providing the information below.

Reason of relationship
  • Customer
  • Visitor
  • Intern
  • Subcontractor Official/Employee
  • Supplier Official/Employee
  • Shareholder/Partner
  • Employee
  • Former Employee
  • Job Applicant/CV Submitter
  • Other ……………………

Explanation (source of the relationship, the unit you are in contact with, date, duration of the relationship, contract, etc.) : ……………………………………………………… …………………………………………………………………………………………………. …………………………………………………………………………………………………. ……………………………………………………………………………………………….

In order to enable us to evaluate your application, please indicate in detail your request within the scope of your rights under Article 11 of the Law on the Protection of Personal Data No. 6698, which is stated in the first part of this form.

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CLARIFICATION TEXT

This application form has been prepared in order to determine your relationship with our Company for the evaluation and conclusion of your application, to respond to the requests in your application, to determine your personal data as the data subject and to respond to your relevant application in a correct and legal time. Our company reserves the right to request additional information and documents for identification and authorization determination within the scope of the application and for the evaluation of the application. Information and documents regarding your requests submitted within the scope of your application must be submitted by the authorized person and must be accurate and up-to-date. In case of an application by an unauthorized person and if it is determined that the information is not correct and up-to-date, our Company will not take any responsibility and in this case, our Company reserves the right to reject the application. The information and documents specified in this form and submitted to us will be processed by our Company limited to the purposes of evaluating, responding and finalizing the application made in accordance with Article 13 of the Law.  The information obtained within the scope of this form and application can be collected in written, verbal, electronic or physical environment. In line with the investigation carried out within this scope, the relevant information may be shared with the company and its affiliates, as well as with third parties and companies from which service is received, such as a lawyer’s office, in order to finalize the application in question. You can exercise your rights set forth in Article 11 of Law No. 6698 in the procedures and conditions specified in this form.

Data Controller: ERSIN AYDIN

Name and Surname of Applicant, Relevant Person (Personal Data Subject)

Application Date :

Signature:

Please click to download: Application Form on the Protection of Personal Data