(REGARDING THE APPLICATIONS TO BE MADE BY THE PERSONAL DATA OWNER TO THE DATA RESPONSIBLE IN ACCORDANCE WITH THE LAW NO 6698 ON THE PROTECTION OF PERSONAL DATA)

General Data Protection Regulation (GDPR) –  APPLICATION FORM

GENERAL EXPLANATIONS: Personal data owners (hereinafter referred to as “data owner”) defined as the relevant person in the Law on the Protection of Personal Data No. 6698 (“Law”) are intitled certain rights regarding the processing of their personal data in Article 11 of the Law.

Pursuant to paragraph 1 of Article 13 of the Law; Applications regarding these rights to our company, which is the data controller, must be submitted to us in writing or by other methods determined by the Personal Data Protection Board (“Board”).

In this context, the applications to be made to our company in “written” form, must be taken the printout of this form and it must be forwarded to us by way of following;

• Personal application
• Via notarial notification,
• By being signed by the Applicant with the “secure electronic signature” defined in the Electronic Signature Law No. 5070 and sent to the registered electronic mail address of the company
• Mobile signature method,
• Via the e-mail address, if any, that you previously notified to our Company and registered in our company’s systems.

Information is given below regarding how written applications will be delivered to us in specific to the written application channels.

In addition, after the other methods to be determined by the Board are announced, our company will announce how the applications will be received through these methods.

(REGARDING THE APPLICATIONS TO BE MADE BY THE PERSONAL DATA OWNER TO THE DATA RESPONSIBLE IN ACCORDANCE WITH THE LAW NO 6698 ON THE PROTECTION OF PERSONAL DATA)

1. Information about the recognition of the applicant and communicating with him / her about his / her application:

1. Please indicate your relationship with our company: (For Example: Customer, Business Partner, Employee Candidate, Former Employee, Third Party Company Employee, Shareholder, Customer Visitor, Business Partner and other)

1. Information on the Choice of the Right to be Used by the Personal Data Owner

(Please tick the box(s) next to the expression appropriate to your request)

(REGARDING THE APPLICATIONS TO BE MADE BY THE PERSONAL DATA OWNER TO THE DATA RESPONSIBLE IN ACCORDANCE WITH THE LAW NO 6698 ON THE PROTECTION OF PERSONAL DATA)

1. Please specify your request under the PPD Law in detail.: …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
2. Appendices

Please indicate if there is any document you want to support your application

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1. Please choose the method by which we will be notified of our response to your application:

☐  Sent my address  

☐  Sent my e-mail (If you choose, we will be able to respond to you faster.)

☐  Hand delivered (Not in the case of delivery by proxy, it must be a certified power of attorney or a certificate of authorization.)

This application form has been issued in order to determine your relationship with our company and to determine your personal data processed by our company in full, if any, so that your relevant application can be answered correctly and within the legal period. Our Company reserves the right to request additional documents and information (copy of identity card or driver’s license, etc.) for identification and authorization determination, in order to eliminate legal risks that may arise from illegal and unfair data sharing and especially to ensure the security of your personal data. If the information about your requests that you submit under the form is not accurate and up-to-date, or if an unauthorized application is made, our company does not accept liability for such wrong information or unauthorized requests.

Applications submitted to us will be answered as soon as possible from the date of receipt of the request by one of the methods described above, in accordance with the second paragraph of Article 13 of the PPD law, depending on the nature of the request. Our answers will be delivered to the applicant in writing or electronically in accordance with the provisions of Article 13 of the relevant PPD law. Our response to your request in writing or electronically will be made according to your choice. In case you request a written response, you may be charged a fee after 10 pages if the response exceeds 10 pages, and the fee for the recording medium answered in case of an electronic response.

EstTime International Health Services (Veri Sorumlusu)

Yenişehir Mah. Kardelen Sok. No:2 Pendik – İSTANBUL

Applicant Relevant Person (Personal Data Owner)

Name and Surname:

Application Date:

Signature:

In accordance with the Communiqué on Data Controller Application Procedures, relevant person; All fields containing the necessary information identifying your identity specified in section “A” must be filled in completely and the other fields of the form must be filled in completely and the request must be clearly stated. Otherwise, the application will not be considered as a valid application.