EstTime Dental Services
EstTime Dental Services
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;
Information is given below regarding how written applications will be delivered to us in specific to the written application channels.
Application Methods | Address where the Application will be made | Information to be specified in the Application Submission |
Personal Application (The applicant must come in person and apply with a document confirming his/her identity)
| Yenişehir Mah. Kardelen Sok. No:2 Pendik – İSTANBUL | “Information Request Under the Law on Protection of Personal Data” will be written on the envelope. |
Via notarial notification | Yenişehir Mah. Kardelen Sok. No:2 Pendik – İSTANBUL | “Information Request Under the Law on Protection of Personal Data” will be written in the notification envelope. |
Via Registered Electronic Mail (REM) using Secure Electronic Signature | esttime@hs01.kep.tr | “Personal Data Protection Law Information Request” will be written in the subject part of the e-mail. |
By e-mail to be sent from the e-mail address you have previously notified to our company and registered in our company’s systems. | info@esthteticstime.com | “Personal Data Protection Law Information Request” will be written in the subject part of the e-mail. |
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)
Name |
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Surname |
|
TR Identification Number Nationality and Passport Number if Foreign |
|
Phone Number |
|
E-Mail (For faster response) |
|
Address
|
|
Customer Visitor Business Partner Other …………………………………………………………………………………………………………………………….. | |
Current Employee Former Employee Years:……………………………………. | Job Application / Shared My Resume Date:……………………………….. |
Other: | Third Party Company Employee Please provide the company and position information you work for;………………………………………………………………………….. |
(Please tick the box(s) next to the expression appropriate to your request)
| I want to know if your company processes personal data about me. |
| If your company requests personal data about me, I request information about these data processing activities. |
| 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. |
| If my personal data is transferred to third parties at home or abroad, I would like to know these third parties. |
| I think that my personal data is incomplete or incorrectly processed and I want them corrected. |
| I want my personal data to be deleted although my personal data has been processed in accordance with the law and other relevant laws |
| I want my personal data that I think is incomplete and wrongly processed to be corrected by the third parties to whom it was transferred. |
| I want my personal data, which I requested to be deleted, to be deleted by the transferred third parties. |
| I believe that my personal data processed by your company is analyzed exclusively through automated systems, and as a result of this analysis, there is a result against me. I object to that conclusion. |
(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)
Please indicate if there is any document you want to support 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.
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