This application form has been prepared by Serapool Porselen San ve Tic. A.Ş. and is used for "Application to the data controller" within the scope of Article 13 of the Personal Data Protection Law No. 6698.
The applicant shall be replied to as soon as possible and within thirty days at the latest, depending on the nature of the request.
You can make your application by filling out this form, submitting another written text of your choice other than this form, or by any method determined by the Personal Data Protection Board and in the following ways:
1. Yazılı Olarak Başvuru | Islak imzalı şahsen başvuru veya Noter vasıtasıyla | Ramazanoğlu Mah Mahmut Bayram Cad N:13 Pendik İstanbul | Zarfın/tebligatın üzerine “Kişisel Verilerin Korunması Kanunu Kapsamında Bilgi Talebi” yazılacaktır. |
2. Kayıtlı Elektronik Posta (KEP) Yoluyla | Kayıtlı elektronik posta (KEP) adresi ile | [email protected] | E-posta’nın konu kısmına “Kişisel Verilerin Korunması Kanunu Bilgi Talebi” yazılacaktır. |
3. Sistemimizde Bulunan Elektronik Posta Adresi ile Başvuru | Şirketimizin sisteminde kayıtlı bulunan elektronik posta adresiniz kullanılmak suretiyle | [email protected] | E-posta’nın konu kısmına “Kişisel Verilerin Korunması Kanunu Bilgi Talebi” yazılacaktır. |
4. Sistemimizde Bulunmayan Elektronik Posta Adresi ile Başvuru | Mobil imza/e-imza içerecek biçimde Şirketimizin sisteminde bulunmayan elektronik posta adresinizi kullanmak suretiyle | [email protected] | E-posta’nın konu kısmına “Kişisel Verilerin Korunması Kanunu Bilgi Talebi” yazılacaktır |
Name Surname | |
TC No | |
Contact Address | |
Cell Phone Number | |
Fax No |
Please mark the communication channel through which you would like to receive the result of your request. | |
Have the result sent to my email account that I provided in section 3 | ☐ |
Have your result mailed to the address I provided in section 3. | ☐ |
Please forward the result as the fax I provided in section 3. | ☐ |
Please write your request regarding your personal data clearly below. Relevant information and documents should be attached to the application. |
Pursuant to the Law No. 6698 on the Protection of Personal Data, I request that the application for obtaining information I have made be evaluated and finalized within the framework of the request/requests I have stated above, and I declare and undertake that I have been informed that your company may request additional information in order to finalize my application and that I may be required to pay the fee determined by the Personal Data Protection Board if it requires an additional cost. I hereby accept, declare and undertake that the information and documents I have provided to you in this application are accurate, up-to-date and belong to me.
DATA OWNER | ||
Name Surname | ||
Application Date | ||
Signature |
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