Data Owner Application Form

KVYS-FR_01

PERSONAL NO. 6698
DATA PROTECTION LAW
USE OF THE RIGHTS OF DATA OWNERS WITHIN THE SCOPE
APPLICATION FORM FOR

Please
Your request under the Personal Data Protection Law (“Law”)
Please fill in the application form below clearly and completely in order to be able to
filled and signed with wet signature BİOSENTEZ DIAGNOSTIC SİSTEMLER MEDİKAL TIC.
LTD .ŞTİ (Büyükbakkalköy, Meşeler Sk. No:23, 34858 Dudullu OSB/Maltepe/İstanbul)
address or send the relevant form to fbiosentez@hs02.kep.tr
You can send it with a secure electronic signature.

your application as soon as possible and
at the latest 30 days from its receipt by us
We will reply within. Information and documents you provide to us
incomplete or incomprehensible
We will contact you in order to finalize your application correctly.

1. IDENTITY AND CONTACT INFORMATION OF THE PERSONAL DATA OWNER

Full Name:
T.R. Identity No:
Phone Number:
Address:
E-Mail Address:
Your relationship with our institution	( business partner, employee candidate, ex-employee, third-party firm like an employee)

2. Regarding the Choice of the Right to be Used by the Personal Data Owner
Bilgiler

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

	If your Institution, personal information about me If data is processed, request information about these data processing activities. I do.
	If your Institution processes personal data about me, the purpose of their processing and whether they are used in accordance with the purpose of processing. I want to know if you are using it.
	If personal my data is domestic or If it is transferred to third parties abroad, this third partyto know people I want.
	If my personal data is at home or abroad, if it is transferred to third partiesI want to know people.
	Legal and relevant data of my personal data processed in accordance with the provisions of other laws. However, I want my personal data deleted.
	Legal and relevant data of my personal data processed in accordance with the provisions of other laws.

	However, I want my personal data deleted.
	Third parties to whom my personal data is transferred, which I think is incomplete and incorrectly processed also before As stated in point 3 I want it fixed.
	Request deletion the deletion of my personal data, which I have provided, in the presence of the transferred third parties.I want.
	By your institution analysis of processed personal data exclusively through automated systems I think that this analysis has resulted in a negative outcome for me.To this conclusion I object.

3. EXPLANATION ABOUT THE REQUEST

(Please specify your request under the KVK Law and the personal data subject to your request in detail.)

4. ATTACHMENTS

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

…………………..…………….……………………………….……………………………….……………………………………………………………

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5. PLEASE SELECT THE METHOD TO BE NOTIFIED OF OUR ANSWER TO YOUR APPLICATION:

I want it sent to my address.
I want it sent to my email address.
I want to receive it by hand.

6. STATEMENT OF THE APPLICANT

This application form helps you to identify your relationship with our Foundation.
and, if any, by specifying your personal data processed by our Foundation in full, to your relevant application.
correct and legally timely response
was drawn up for. Data illegally and unfairly
elimination of legal risks that may arise from sharing
and especially personal
In order to ensure the security of your data, our Foundation provides additional documents and documents for identification and authorization.
reserves the right to request information (copy of identity card or driver’s license, etc.). In the form
If the information regarding your requests is not correct and up-to-date or an unauthorized application
In case of a request, our Foundation will not be liable for any requests arising from such false information or unauthorized application.
does not accept liability. All responsibility arising from unlawful, misleading or false applications lies with you.

Personal Data Owner / Person Applying on Behalf of Someone Else¹

Full Name :

Application date :

Signature :

1 Please apply on behalf of someone else
if you are, to apply
showing that you are authorized
documents (personal data owner
document showing that he/she is a parent/guardian, such as a power of attorney) attached to the application
send it. Acceptance of these documents as valid
competent authorities for
edited by or
are required to be approved.