APPLICATION FORM (click to download pdf version of the form)
(PURSUANT TO THE LAW NO. 6698 ON PROTECTION OF PERSONAL DATA)
(GENERAL EXPLANATIONS ON THE APPLICATIONS TO BE MADE TO THE DATA CONTROLLER BY AN EMPLOYEE)<
Data subjects described as the relevant person (hereinafter referred to as the “Data Subject”) under the Law No. 6698 on Protection of Personal Data (“Law”) are granted certain rights in connection with the processing of personal data pursuant to Article 11 of the Law.
Pursuant to paragraph 1 of Article 13 of the Law, applications regarding these rights must be submitted to our Company acting as the data controller, in writing or via other methods specified by the Personal Data Protection Board (“Board”). Accordingly, written applications to our Company should be submitted using this form:
and must be submitted to us accordingly.
Below, you will find details regarding the specific channels through which written applications should be submitted to us.
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Application Method |
Address of |
Information Required in the Application |
Other Information Added to the Application |
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Notification via notary public |
[Değirmen Sok.Nidakule İş Merkezi No:18 K:5 Kozyatağı/İstanbul] |
“Information Request Under Personal Data Protection Law” shall be written on the envelope. |
Each inquiry is individually specified in the content. |
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Personal Application |
[Değirmen Sok.Nidakule İş Merkezi No:18 K:5 Kozyatağı/İstanbul] |
Application |
Each inquiry is individually specified in the content. |
|
Via Registered Electronic Mail (KEP) by signing with “secure electronic signature” |
“Information Request Under Personal Data Protection Law” shall be written in the subject of the e-mail. |
Each inquiry is individually specified in the content. |
The channels listed above are “written” application channels in accordance with paragraph 1 of Article 13 of the Law. 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 us will be answered “as soon as possible and at the latest within thirty days” from the date on which your request is received, depending on the nature of the request and in accordance with paragraph 2 of Article 13 of the Law. Our responses will be provided to you in writing or electronically in accordance with Article 13 of the Law.
The information and documents requested from you depending on the nature of this form and your request must be provided to us completely and accurately. If the requested information and documents are not properly provided, there may be difficulties in conducting the investigations to be carried out by our Company in relation to your request fully and properly. In such a case, our Company reserves its legal rights. Therefore, the relevant form must be submitted completely and together with the information and documents requested depending on the nature of your request.
The following information must be provided to identify the “applicant” and conduct the necessary investigations within our Company depending on the nature of your application.
In addition, the contact details provided below are requested in order to obtain further details regarding your application, keep you informed about our evaluation processes, and notify you of the outcome of your application.
Name Surname:
T.R. Identification Number:
Department/Unit of Employment:
Position:
Below you will find the rights you can claim from our Company acting as a data controller pursuant to Article 11 of the Law. Your request will be assessed by our Company in accordance with the rights you have selected, and a response will be sent to you pursuant to Article 13(3) of the Law.
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Inquiry No |
Subject of Inquiry |
Legal Ground |
Your Choice (Please type (X) in the box depending on the action you require our Company to take) |
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1 |
I would like to know whether your Company processes any personal data about me |
Personal Data Protection Law Article 11/1 (a) |
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2 |
If your Company is processing personal data about me, I request information regarding the data processing activities |
Personal Data Protection Law Article 11/1 (b) |
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3 |
If your Company is processing personal data about me, I would like to know the purpose of such processing and whether the data is being used in accordance with that purpose |
Personal Data Protection Law Article 11/1 (c) |
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4 |
If my personal data is transferred to third parties in the country or abroad, I would like to know who these third parties are |
Personal Data Protection Law Article 11/1 (ç) |
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5 |
I believe that my personal data are processed inaccurately or incorrectly, and I would like them to be corrected |
Personal Data Protection Law Article 11/1 (d) |
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6 |
Even though my personal data are processed in accordance with the law and the applicable provisions of other legislation, I believe that the grounds justifying the processing no longer apply; therefore, I request that my personal data be:
|
Personal Data Protection Law Article 11/1 (e) |
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7 |
I would also like my personal data (Inquiry No. 5), which I believe are processed incompletely or incorrectly, to be rectified by the disclosed third parties |
Personal Data Protection Law Article 11/1 (f) |
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8 |
Even though my personal data are processed in accordance with the law and the applicable provisions of other legislation, I believe that the grounds justifying the processing no longer apply (Inquiry No. 6) and accordingly, I require that my personal data held by third parties to whom my personal data has been transferred be:
|
Personal Data Protection Law Article 11/1 (f) |
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9 |
I believe that my personal data processed by your Company are analysed exclusively by automated systems and this analysis resulted in an adverse outcome about me. I hereby object to that result. |
Personal Data Protection Law Article 11/1 (g) |
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10 |
I have suffered losses as a result of the unlawful processing of my personal data. I claim compensation for such losses. |
Personal Data Protection Law Article 11/1 (h) |
You are also required to provide us with the information and documents listed below depending on the nature of your inquiry so that you can exercise your rights under paragraph 1 of Article 11 of the Law and our Company can process your application in accordance with Article 13 of the Law.
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Inquiry No |
Subject of Inquiry |
Extra Information Required |
Document Required |
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1 |
I would like to know whether your Company processes any personal data about me |
N/A |
N/A |
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2 |
If your Company is processing personal data about me, I request information regarding the data processing activities |
N/A |
N/A |
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3 |
If your Company is processing personal data about me, I would like to know the purpose of such processing and whether the data is being used in accordance with that purpose |
N/A |
N/A |
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4 |
If my personal data is transferred to third parties in the country or abroad, I would like to know who these third parties are |
N/A |
N/A |
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5 |
I believe that my personal data are processed inaccurately or incorrectly, and I would like them to be corrected |
Personal data that you believe to be incomplete or incorrect and would like to have rectified: |
Documents showing accurate and complementary details of the personal data you believe to be incomplete or incorrect (photocopy of identification card, certificate of residence) |
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6 |
Even though my personal data are processed in accordance with the law and the applicable provisions of other legislation, I believe that the grounds justifying the processing no longer apply and therefore, I request that my personal data be:
|
Please specify the relevant ground and why you believe it is no longer applicable: |
Documents substantiating your choice. |
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7 |
I would also like my personal data (Inquiry No. 5), which I believe are processed incompletely or incorrectly, to be rectified by the disclosed third parties |
Your personal data that you believe to be incomplete or incorrect |
Documents showing the correct and complete details of your personal data which you believe are processed incompletely or incorrectly (such as photocopy of identification card, certificate of residence) |
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8 |
Even though my personal data are processed in accordance with the law and the applicable provisions of other legislation, I believe that the grounds justifying the processing no longer apply (Inquiry No. 6) and accordingly, I require that my personal data held by third parties to whom my personal data has been transferred be:
|
Please specify the relevant ground and why you believe it is no longer applicable: |
Documents substantiating your choice. |
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9 |
I believe that your Company analyses my personal data exclusively through automated systems and these analyses lead to an adverse result for me. I hereby object to that result. |
Please specify which inquiry or process you believe this issue relates to. |
Documents showing the inquiries you have made regarding the processing via the exclusively automated systems you have indicated in the relevant column.. |
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10 |
I have suffered losses as a result of the unlawful processing of my personal data. I claim compensation for such losses. |
Please specify the matter breaching the law. |
You are required to add copies of the court decision or Board decision you specified in the relevant column, together with documents showing their relationship to you and the amount of the loss you suffered. |
In accordance with the inquiries I have outlined above, I request that my application to your Company be evaluated pursuant to Article 13 of the Law and that I be informed of the outcome.
I request that the response be sent to my mailing address provided in Part 2.
I request that the response be sent to my electronic mail address provided in Part 2.
I hereby represent that the information provided above in this form is true and correct, that I wish to exercise the rights specified above pursuant to Article 11 of the Law, and that I consent to the necessary investigations and evaluations being carried out accordingly.
Applicant Employee’s
Name Surname:
Date of Application:
Signature: