Data Application Form

DATA SUBJECT APPLICATION FORM

INFORMATION ABOUT THE APPLICANT

A.                 Please fill in the following identification and contact information.

Name                          :

Surname                      : 

T.C. ID No                    : 

For foreigners :

Nationality                  :

Passport Number/

ID Number      :

E-mail address            : 

 

(We will be able to respond to you faster if you provide the following information.)

Address                                   :

Mobile Number                       :

Fax                               :

2. Please indicate your relationship with our Institution.

□ Employed

□ Product/Service User

□ Visitor

□ Former Employee

Please indicate the year you worked and the position:

□ Employee Candidate

Please indicate the application date and the position applied for:

□ Third Party Company Employee

Please indicate the company/institution and position you work for:

□ Other (Supplier, Business Partner, etc.)

 

Please specify company/institution name:

3. If you know the name, surname and department of the person you are meeting in our institution, please write:

 

4. Subject:

 

            

5. Please explain your request under the Law in detail:

 

6. Please write in handwriting which of the following rights you would like to use regarding your personal data. Please send the supporting documents as attachments after you write the subject of illegality in the "Your Choice" field. (Court decision, Board decision, documents showing the amount of material damage, etc.)

 

1. I want to know if your company processes personal data about me. (KVKK M.11/1-a)       

2. If your company processes personal data about me, I request information about these data processing activities. (KVKK M.11/1-b)      

3. If your company processes personal data about me, I would like to know the purpose of processing and whether they are used in accordance with the purpose of processing. (KVKK M.11/1-c)

4. If my personal data is transferred to third parties at home or abroad, I want to know these third parties. (KVKK M.11/1-ç)        

5. I think my personal data is incomplete or incorrectly processed and I want them corrected. (KVKK M.11/1-d) Write your personal data that you want to be corrected in the "Your Selection" field and send the supporting documents as attachments.          Data to be corrected;

6. I think that the reasons that require the processing of my personal data have ceased to be present, for this reason I request my personal data;

a.                  to be deleted.

b.                  to be destroyed. (KVKK M.11/1-e) Write your choice in text.

7.                  I would like my personal data which I believe have been misprocessed or processed incompletely;

a.                  to be corrected,

b.                  to be deleted,

c.                   to be destroyed and I would like to be notified of the transactions regarding my request to the third parties to whom my personal data has been transferred. (KVKK M.11/1-f) Write your choice in text.

8.                  I would like to object to the result against me by analysing the processed data exclusively through automated systems (KVKK M.11/1-g)

9.                  I suffered damage due to the illegal processing of my personal data. I demand compensation for this damage. (KVKK M.11/1-ğ)

 

Your choice

………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

Please choose how you wish to be notified about our response to your application:

 

□ I would like it to be sent to my address.

□ I would like it to be sent to my email or KEP address.

   (If you choose the e-mail method, we will be able to respond to you faster.)

□ I would like to receive it in person.

   (In case of receipt by proxy, a notarized power of attorney is required.)

 

This "Application Form" has been prepared in order to determine your relationship with our company, to fully determine your personal data, if any, and to respond to your relevant application correctly and within the legal time limit. Our company reserves the right to request additional documents related to your application, identification and/or authorization determination or your request in order to prevent legal risks that may arise from illegal and unfair data sharing, especially to ensure the security of your personal data and to conduct a sound examination of your request. In the event that the information regarding your requests you convey to our company is not correct and up-to-date, or an unauthorized application is made to our company, our company does not accept any responsibility for such false information or requests arising from unauthorized applications.

 

In line with the requests, I have stated above, I request that my application to your company be evaluated in accordance with Article 13 of the Law, and I would like to be informed.

 

Applicant (Personal Data Owner)

Name, Surname:

Date                :

Signature         :