Personal Data Application Form

INFORMATION ABOUT THE APPLICANT

Name:.......................

Surname:..................

T.R. Identity Number:

For Foreigners:

Nationality:

Passport Number/

Identification Number:

E-mail address: ...............

(We will be able to respond to you more quickly if you specify.)

Address:

Mobile phone:

Fax:

Please specify your relationship with our institution.

□ Employee

□ Customer

□ Visitors

□ Former Employee

Please specify the year and position you have worked:

□ Employee candidate/Job application

Please specify the application date and the position applied for:

□ Third-party employee

Please specify the company/institution and position you work for:

□ Other (supplier, business partner, etc.)

Please specify the name of the company/institution:

Unit/Person you meet within our institution:

Topic:

Please describe in detail your request under the Law:

Please choose the method by which you will be notified of our response to your application:

□ I would like it to be sent to my address.

□ I want sent to my email address.

(If you choose the e-mail method,it will be ableto give you more support.)

□ I want to receive it by hand.

(In case of delivery by proxy, there must be a notarized power of attorney.)

This "Application Form" has been issued in order to determine your relationship with our company, to determine your personal data processed by our company, if any, in full, and to respond to your relevant application correctly and within the legal period. In order to prevent legal risks that may arise from unlawful and unfair data sharing, and in particular to ensure the security of your personal data and to conduct a healthy examination of your request, our company reserves the right to request additional documents related to your application, identity and/or authorization determination or your request. In the event that the information regarding your requests submitted to our company is not accurate and up-to-date or an unauthorized application is made to our company, our company does not accept responsibility for such requests arising from incorrect information or unauthorized application.

In line with the requests I have stated above, I would like to request that my application to your company be evaluated in accordance with Article 13 of the Law and informed to me.

Applicant (Personal Data Owner)

Name, Surname:

History:

Signature:

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