PDPL Application Form

ACCORDING TO THE LAW ON THE PROTECTION OF PERSONAL DATA NUMBER 6698

INFORMATION REQUEST FORM

 

1. GENERAL EXPLANATION

You can send your requests regarding your rights arising from Article 11 of the Law on Protection of Personal Data No. 6698 to Çakır Oral and Dental Health Services Tic. Ltd. You can send it to Sti. Your requests in question Çakır Oral and Dental Health Services Tic. Ltd. Şti., it will be answered as soon as possible and within thirty days at the latest. The answer to your information request will be sent to you in writing or electronically using the communication channels you have chosen below.

The information must be filled in completely during the application. Otherwise, your information requests will be made by Çakır Oral and Dental Health Services Tic. Ltd. Sti. will not be met by In case of inaccurate or incomplete information, Çakır Oral and Dental Health Services Tic. Ltd. Sti. does not accept any responsibility for not responding to the request.

 

2. INFORMATION REGARDING THE RELATED PERSON REQUESTING INFORMATION

NAME AND SURNAME
T.R. IDENTIFICATION NUMBER
NATIONALITY
PASSPORT NUMBER IF YOU ARE A FOREIGN NATION OR ID NUMBER IF AVAILABLE
MAIN RESIDENCY OR BUSINESS ADDRESS FOR NOTIFICATION
MOBILE PHONE
LAND PHONE
FAX NUMBER
E-MAIL ADDRESS
YOUR RELATIONSHIP WITH OUR COMPANY
HAS YOUR RELATIONSHIP WITH OUR COMPANY ENDED?
HOW LONG HAVE YOU WORKED WITH OUR COMPANY?
YOUR PURPOSE OF REQUESTING INFORMATION
 

3. SUBJECT OF THE REQUEST (If there is, please include the relevant information and documents in the documents.)

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

 

4. STATEMENT OF THE RELATED PERSON

In line with my requests explained above, I request that my application be evaluated and answered. I accept, declare and undertake that the information I have given during my application is true and up-to-date and belongs to me. Çakır Oral and Dental Health Services Tic. Ltd. Sti. I consent to its processing in connection with its purpose.

 

I would like to receive the answer to my application personally. (Information about the application is not shared with anyone other than the person applying.)

I want the response of my application to be sent to my e-mail address specified in the Application Form.

I want the response of my application to be sent to the address specified in the Application Form.

(Please mark the option you chose.)

 

Name and Surname of the Person Making the Application:

Application date:

Signature: