Data Subject Application Form

Elektronik Bilgi Güvenliği A.Ş. (“Company”)

APPLICATION FORM (click to download pdf version of the form)

GENERAL EXPLANATIONS

Data subjects described as the relevant person (hereinafter referred to as the “Applicant”) under the Law No. 6698 on Protection of Personal Data (“PDP Law”) are granted the right to make certain requests regarding the processing of their personal data pursuant to Article 11 of the PDP Law.

Pursuant to paragraph one of Article 13 of the PDP Law, applications regarding these rights must be submitted to our Company acting as the data controller, in writing or through other methods specified by the Personal Data Protection Board (“Board”).

Accordingly, written applications to our Company may be submitted by printing out this form and:

and may thus be submitted to us.

Below, you will find details regarding the specific channels through which written applications should be submitted to us.

Application Method

Address of Application

Information Required in the Application

Personal Application (application made by the applicant in person with a document confirming identity)

[Değirmen Sok.Nidakule İş Merkezi,No:18 K:5 Kozyatağı/İstanbul]

“Information Request Under Personal Data Protection Law” should be written on the envelope.

Submission via notary public

[Değirmen Sok.Nidakule İş Merkezi,No:18 K:5 Kozyatağı/İstanbul

“Information Request Under Personal Data Protection Law” should be written on the envelope of notification.

Via Registered Electronic Mail (KEP) by signing with “secure electronic signature”

elektronikbilgiguvenligi@hs02.kep.tr

“Information Request Under Personal Data Protection Law” shall be written in the subject of the e-mail.

Further, once the other methods determined by the Board are announced, our Company will also announce how applications will be accepted through these methods.

Your application submitted to our Company will be responded to within thirty days from the date of receipt, depending on the nature of the application, in accordance with paragraph 2 of Article 13 of the PDP Law. Our response will be provided to you in writing or electronically in accordance with Article 13 of the PDP Law.

  1. Applicant’s contact information:

Name:

 

Surname:

 

T.R. Identification Number:

 

Telephone Number:

 

E-mail:

(If you provide this information, we will be able to respond more quickly.)

 

Address:

 
 
 
  1. Please specify your relationship with our Company. (Customer, business partner, employee candidate, former employee, third-party company employee, shareholder, etc.)

☐ Customer

☐ Visitor

☐ Business Partner

☐ Other: .........................

The Department you contact at our Company: ..................................................

Subject: ...........................................................................

☐ I am a Former Employee

Years of Employment: .........................

☐ Other: .........................

☐ I Submitted a Job Application / CV

Date: ...................................

☐ I am an Employee of a Third-Party Company

Please specify the employer and your position

...................................

  1. Please provide details on your application within the scope of the PDP Law:

...........................................................................................................

  1. Please select a method for us to send the response to your application:

This application form has been prepared to determine your relationship with our Company, if any, identify in full the personal data processed by our Company and respond to your application properly and within the statutory period. Our Company reserves the right to request additional documents and information (copy of identity card or driving licence, etc.) for identification and authorization in order to eliminate legal risks that may arise from unlawful and unfair disclosure of data and, in particular, to ensure the security of your personal data. Our Company shall not accept any liability arising from inaccurate information or unauthorized applications in the event that the information you provide in this form regarding your requests is not accurate and up to date or an unauthorized application is made.

Applicant (Data Subject)

Name Surname:

Date of Application:

Signature:

E-Güven
Değirmen Sokak Nida Kule İş Merkezi No:18 Kat:5 Kozyatağı / İstanbul
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