VITALIST SAĞLIK DANIŞMANLIK VE TURİZM LİMİTED ŞİRKETİ PERSONAL DATA PROTECTION LAW APPLICATION FORM
Within the scope of the Law on the Protection of Personal Data No. 6698, you have the right to make certain requests regarding your personal data as explained below, as the real person whose personal data is processed, namely the "Applicant", the personal data owner.
Please fill in the application form below clearly and completely and send it to our company with a wet signature so that we can fulfill your requests under the Law on Protection of Personal Data.
You can submit the application form in writing or through a registered electronic mail (REM) address, secure electronic signature, mobile signature, or electronic mail address in our Company's system, or through electronic mail address methods that are not available in our system, or through a software or application developed for the purpose of application.
If you want to send it to our company's address by mail, our address information is as follows: Fevzi Çakmak Mah, Meşe Çıkmazı Sok, No: 2, İç Kapı No: 13, Pendik, Istanbul.
Your applications to our company will be answered free of charge as soon as possible depending on the nature of your request and within thirty days from the date of receipt of your request. If the transaction also requires a cost, our responses will be delivered to you in writing or electronically in accordance with Article 13 of the aforementioned Law.
Name surname :
T.R. Identification number:
For Citizens of Other Country:
Passport Number or Identification number:
Residential Address or Workplace:
Address Based on Notification:
Mobile phone:
Phone number:
Fax Number:
E-mail address:
Please indicate your relationship with our Company: (Customer, business partner, employee candidate, ex-employee, shareholder)
(Please tick the box(es) next to the expression appropriate to your request)
☐I would like to know if your company processes personal data about me.
☐If your company processes personal data about me, I request information about these data processing activities.
☐If your company processes personal data about me, I would like to learn the purpose of processing and whether they are used in accordance with the purpose of processing.
☐If my personal data is transferred to third parties at home or abroad, I would like to know these third parties.
☐I think that my personal data is incomplete or incorrectly processed and I want them corrected.
☐Even though my personal data has been processed in accordance with the provisions of the law and other relevant laws, I want my personal data to be deleted.
☐I want the personal data that I think is incomplete and incorrectly processed to be corrected by the third parties to whom it is transferred.
☐I want my personal data, which I requested to be deleted, to be deleted by the transferred third parties.
☐I believe that my personal data processed by your company is analyzed exclusively through automated systems and as a result of this analysis, a result against me has arisen. I object to this conclusion.
(Please specify your request under the Personal Data Protection Law and the personal data subject in detail.)
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(Please indicate if there is any document you want to show as a basis for your application.)
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☐ I want it sent to my address.
☐ I want it to be sent to my e-mail address. (If you choose the e-mail method, we will be able to respond to you faster.)
☐ I want to receive it by hand. (In case of receipt by proxy, a notarized power of attorney or authorization document is required.)
Our company; reserves the right to request additional documents and information such as identity card, driver's license for identification and authorization determination for the following reasons: In order to eliminate the legal risks that may arise from illegal and unfair data sharing and especially to ensure the security of your personal data.
In the event that the information regarding your requests you submit within the scope of the form is not correct and up-to-date, or an unauthorized application is made, our Company does not accept any liability for such false information or requests arising from unauthorized applications.
Applicant Name and Surname:
Application date :
Signature :
Last Update: 17 March 2023
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