Consent Text
DATA SUBJECT APPLICATION FORM
INFORMATION ON THE APPLICATION FORM
NEYİVAR TEKNOLOJİ VE TİCARET ANONİM ŞİRKETİ, in the capacity of data controller, operating in accordance with the Personal Data Protection Law No 6698 (PDPL), with the registered address at Atatürk Mahallesi Ertuğrul Gazi Sokak A Blok No:2 E İç Kapı No:331 Ataşehir/ISTANBUL, Central Registration System (Mersis) No. 0631-1549-2590-0001 respects the rights of you, the valuable personal data subjects and strives to help fulfilling your requests in your application. The right to apply to our company with this form (“Data Subject Application Form”) prepared as per article 11 of PDPL directly belongs to the personal data subject. In the case of applications filed on behalf of third persons, a proper power of attorney, including power to represent the relevant person, shall be presented. Pursuant to first paragraph of Article 13 of the PDPL; applications to be filed to our Company as data controller with regard to these rights should be forwarded to our Company in writing or by other means determined by the Personal Data Protection Board ("Board”). After you fill out and sign the following Data Subject Application Form in a complete and clear manner under the information contained in the orporate Communication, Board and Related Person Information Processes Policy of our company and send it to our address below in person or by registered mail, we will reply your application within no later than 30 (thirty) days.
Your application regarding the rights contained in the PDPL and Corporate Communication, Board and Related Person Information Processes Policy shall be filed in writing by other methods included in this Personal Data Subject Application Form or determined by the Personal Data Protection Board (“Board”). In that regard, applications to be lodged in “writing” with our Company may be submitted as follows: by obtaining printout of the Data Subject Application Form;
- In person by the applicant,
- Through a Notary Public,
- By the Applicant affixing its Secure Electronic Signature in accordance with Electronic Signature Law No. 5070.
It can be provided by sending it to the registered e-mail address of our Company.
The descriptions regarding informative notes to be indicated in written application channels and submissions are as follows.
Application Method | Application Address | Information to be Indicated on the Application |
Application in Person | Atatürk Mahallesi Ertuğrul Gazi Sokak A Blok No:2 E İç Kapı No:331 Ataşehir/ISTANBUL | The envelope should bear the statement “Request for Information as per the Law on Protection of Personal Data.” |
Application through Notary Public | Atatürk Mahallesi Ertuğrul Gazi Sokak A Blok No:2 E İç Kapı No:331 Ataşehir/ISTANBUL | The envelope should bear the statement “Request for Information as per the Law on Protection of Personal Data”. |
Application by Secure Electronic Signature [Application through Registered Electronic Mail (KEP) by signing with digital electronic signature] | Kep | The subject of the e-mail shall read "Information Request under the Law on Protection of Personal Data". |
Application by Mobile Signature or Email [By using the e-mail address previously notified to the data controller by the data subject and registered in the data controller's system] | The subject of the e-mail shall read "Information Request under the Law on Protection of Personal Data". |
DATA SUBJECT APPLICATION FORM
Your Identity and Contact Details
Please fill in the below fields in order for us to contact you and verify your identity.
Name & Surname | : | |
Republic of Turkey Identity No /Passport No or Identity No for Citizens of Other Countries | : | |
Correspondence Address Address/Business Address | : | |
Mobile Phone | : | |
Phone Number | : | |
Fax Number | : | |
E-mail address | : |
Your Relationships with the Company
Please indicate your relationship with our Company. (Customer, business partner, employee, prospective employee, former employee, visitor, etc.)
☐ Customer ☐Business Partner ☐ Employee or Prospective Employee ☐ Former Employee | ☐ Visitor ☐ Other................ |
Subject of the Request
Please select the subject of your application related to your personal data from the list below:
Your Selection on the Subject of Request and Legal Grounds
No | Subject | Preference |
1 | I would like to find out if my personal data is processed in the company. (Art. 11/1 of Law on Protection of Personal Data) | |
2 | If my personal data is being processed, I request information on such data processing activities (Art. 11/1 (b) of Law on Protection of Personal Data) | |
3 | If my personal data is being processed, I would like to find out whether it has been used in accordance with its intended purpose. (Art. 11/1 (c) of Law on Protection of Personal Data) | |
4 | I request information that my personal data has been transferred to third parties at home and/or abroad, if so, information about the third parties. (Art. 11/1 (ç) of Law on Protection of Personal Data) | |
5 | I request the rectification of incompletely or incorrectly processed personal data at the hand of third parties to whom my proprietary/personal data has been transferred. (Accurate and supplementary information/documents should be provided.) (Art. 11/1 (d) of Law on Protection of Personal Data) | |
6 | I consider that the grounds for the processing of my personal data disappeared, therefore I request that my personal data be deleted or anonymized. (If requested, explanatory information/document about why you think the grounds for processing of your personal data disappeared should be provided to our company) (Art. 11/1 (e) of Law on Protection of Personal Data) | |
7 | If my personal data is being incompletely or incorrectly processed in your company, I request that third parties to whom my personal data has been transferred be notified in respect thereof. (If requested, the following documents and information should be provided to our company) (Art. 11/1 (f) of Law on Protection of Personal Data) |
8 | I object to the occurrence of a result which is detrimental to me as a result of analyzing my processed personal data exclusively through automated systems, (Art. 11/1 (g) of Law on Protection of Personal Data) | |
9 | I request indemnification for my damages caused by unlawful processing my their personal data. (Art. 11/1 (h) of Law on Protection of Personal Data) | |
10 | Other |
Please indicate your preference of notification for the response to be given by our Company to your application:
NO | Notification Method of the Response to be Given by Our Company | Your preference |
1 | I want it to be delivered to me in person. In case of taken delivery by proxy, notarized power of attorney or authorization certificate should be provided.) | |
2 | I want it to be sent to my email address. (If you choose the email method, we shall be able to respond to you faster.) | |
3 | I want it to be sent to my address. |
Please indicate details about your request under the Law: |
DECLARATION
I hereby request that all my request that I indicated in this application that I lodged with Neyivar Teknoloji Ve Ticaret Anonim Şirketi be evaluated in accordance with Article 13 of the Law on Protection of Personal Data and I will be informed accordingly. To this end, I hereby agree and represent that all documents and information that I provided to you in the application are accurate, current and owned by me, and that I give my consent that such information is processed by your company limited to the purposes of evaluating my application, answering it, delivering the answer to me.
Data Subject
Name Surname:
Application Date:
Signature
