1. General Explanations

In accordance with the Law No. 6698 on the Protection of Personal Data (“KVKK”), personal data owners (hereinafter referred to as “Applicant”) have the rights specified in Article 11 of the Law.

In accordance with Article 13, paragraph 1 of the KVKK, applications to Dr. Özgül İşçen, the data controller, must be submitted:

In writing,

Through a notary public,

By sending a registered electronic mail (KEP) address signed with a secure electronic signature within the scope of the Electronic Signature Law No. 5070,

Or by other methods determined by the Board.

Applications will be processed within a maximum of 30 (thirty) days from the date they are received, depending on the nature of the request. Responses will be provided in writing or electronically.

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2. Application Methods

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Application Method | Application Address | Description

In-Person Application…………………………………The envelope should be marked “Information Request”. Identity verification is mandatory.

Via Notary Public…………………………………The notification envelope should be marked “Information Request under the Law on the Protection of Personal Data”.

Via Secure Electronic Signature via KEP…………………………………The subject line of the email should be “Information Request under the Law on the Protection of Personal Data”.

Other application methods to be determined by the Board in the future will be announced separately.

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APPLICATION FORM

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A. Applicant Contact Information

Name:

Surname:

T.C. Identity Number:
Phone Number:
Email:
(Providing this will ensure a faster response.)
Address:

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B. Your Relationship with Our Company

Please select the appropriate option:

☐ Customer
☐ Business Partner
☐ Visitor
☐ Former Employee (Years worked: ……………………)
☐ I applied for a job / shared my resume (Date: ……………………)
☐ I am an employee of a third-party company (Company and Position: …………………………………)
☐ Other: ………………………………………………………………

The department you are in contact with within our company:
……………………………………………………………………………

Subject:
……………………………………………………………………………

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C. Your Request under the Personal Data Protection Law

Please provide your request in detail Please specify:

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D. Method of Notification of the Response to You

Please indicate your preferred method:

☐ I want it sent to my address.
☐ I want it sent to my email address.
☐ I want to receive it in person.

(If receiving it by proxy, a notarized power of attorney or authorization document is required.)

Important Information

This application form has been prepared to determine your relationship with our Company, to fully identify any personal data processed, and to respond to your application accurately within the legal timeframe.

In order to prevent unlawful data sharing and to ensure the security of your personal data, our Company reserves the right to request additional information and documents (copy of identity card, driver's license, etc.) for identity and authorization verification.

Our company accepts no responsibility for the submission of incorrect, outdated information or unauthorized applications.

Applicant's Statement

Name and Surname:

Application Date:

Signature: