KVKK Application Form - Medic Antalya

Within the scope of your rights listed in Article 11 of the Personal Data Protection Law No. 6698 ("Law"), you can apply to us regarding your requests below by following the methods and procedures described in this Form.

You can use your rights under Article 11 of the Personal Data Protection Law No. 6698 using the methods and forms specified below.

A) Applicant's contact information:

Name and Surname: _____________________________

T.R. ID No.: _____________________________

Passport No.: _____________________________

Phone Number: _____________________________

Email: _____________________________

Address: _____________________________

B) Please indicate your relationship with our company:

Customer/Patient

Visitor

Employee

Former Employee (Years Worked: _________)

Job Applicant/Resume Submission (Date: _________)

Third Party Company Employee (Company and Position: _________)

Business Partner/Solution Partner/Consultant

Supplier

Other (Please explain: _________)

C) Please specify your request in detail within the scope of the PDPL:

________________________________________________________________

D) Please select the method for receiving our response to your application:

I want it sent to my address.

I want it sent to my email address. (We can respond faster if you choose the email method.)

I want to receive it in person. (In case of receipt by proxy, a notarized power of attorney or authorization document is required.)

Application Date: _________

Signature: _________

Protection of Personal Data Information Form