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RELEVANT PERSON (PERSONAL DATA OWNER) APPLICATION FORM FOR THE PROTECTION OF PERSONAL DATA

DATA SUBJECT (PERSONAL DATA OWNER) APPLICATION FORM FOR THE PROTECTION OF PERSONAL DATA

 

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

 

You can exercise your rights in the following methods and forms.

 

 

METHOD / PROCEDURE

ADRESS

EXPLANATION

 

Written Application

It can be made in person with wet signature or through a Notary Public

Çeliktepe Mah. İsmet İnönü Cad. Yıldırımlar İş Merkezi No:11 İç Kapı No: 501 Kağıthane/İstanbul

The relevant information and documents in this form will be fulfilled by specifying the relevant information and documents in this form and “KVKK Relevant Person Application” will be written on the application form envelope / notification.

Application by Electronic Mail (e-mail)

It can be made with the signed form attached to the e-mail created to include mobile signature / e-signature or the signed form attached to the approved e-mail registered in the company system.

[email protected]

 

In the content of the e-mail message, the relevant information and documents in this form will be specified and the requirement will be fulfilled and “KVKK Relevant Person Application” will be written in the subject section.

 

If you apply to us in accordance with the procedures and principles specified in this form; your requests are finalised free of charge as soon as possible and within thirty days at the latest, depending on their nature. However, if the transaction requires an additional cost, the fee in the tariff determined by the Personal Data Protection Board may be requested.

 

Our responses will be sent to you in writing or electronically. For this reason, please indicate the channel you would like us to contact you and the relevant information as follows.

 

Name

 

Surname

 

Turkish Republic Identity Number

 

Telephone

 

Adress

 

KEP Address E-mail

 

I request that the reply be sent to me by the method I have indicated below. (Please select one.)

KEP

E-Mail

Address (Shipping)

 

 

 

 

 

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

 

Reason for association

 

  1. Client o Visitor o Business Partner o Supplier o Former Employee
  2. Job Applicant/CV Submitter
  3. Other ……………………
 

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

In order to evaluate your application to us, please specify in detail your request regarding your rights under Article 11 of the Law, which are specified in the first part of this form.

 

 

 

 

 

 

 

 

 

 

 

 

 

CLARIFICATION TEXT

This application form has been issued in order to determine your relationship with our Company in order to evaluate and finalise your application, to respond to the requests in your application, to identify your personal data as the person concerned and to respond to your application correctly and within the legal period. Our Company reserves the right to request additional information and documents for identification and authorisation determination within the scope of the application and for the evaluation of the application. The information and documents regarding your requests submitted within the scope of your application must be submitted by an authorised person and must be accurate and up-to-date. In case of an unauthorised application and if it is determined that the information is not correct and up-to-date, our Company will not take 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 finalising the application made pursuant to Article 13 of the Law.  The information obtained within the scope of this form and application may be collected in written, verbally, electronically or physically. In line with the examination carried out within this scope, the relevant information may be shared with the company and its affiliates and third parties and companies that provide services such as lawyers’ offices for the finalisation of the application in question. You may exercise your rights under Article 11 of the Law under the procedures and conditions specified in this form.

 

 

Data Controller: Healco Health, Education, Informatics and Consultancy Trade Limited Company

 

Applicant Relevant Person (Personal Data Owner)

                                                                                                                                                                                  Name Surname        :
                                                                                                                                                                                  Application Date      :
                                                                                                                                                                                  Signature                   :