KVKK APPLICATION FORM

Application Form

Law No. 6698 on the Protection of Personal Data (‘KVKK’), the application methods that natural persons whose personal data are processed (‘Relevant Person’) will apply to the data controller in order to exercise their rights on their personal data are stated in the ‘Communiqué on the Procedures and Principles of Application to the Data Controller’ published in the official gazette numbered 30356 on 10 March 2018.

Without prejudice to other methods determined by the Board, the application methods determined by Birce Kantar Health Tourism for the Data Subjects by taking into account the ‘writtenness’ criteria of our positive law are as follows. Relevant persons will be able to make an application by using one of the following methods based on this form. Accordingly, the Relevant Person;

By sending an e-mail to info@bircekantarhealthtourism.com with his/her secure electronic signature, or
By personal application to Evren Mahallesi, Nurolpark Sitesi, Gülbahar Cd. No:45/5, 34212 Bağcılar/İstanbul with a handwritten signature on this form, or
By notary public

may apply to Birce Kantar Health Tourism.

The applications submitted to Birce Kantar Health Tourism by one of the above-mentioned methods will be answered free of charge as soon as possible and within 30 days at the latest, depending on the nature of the request, and this answer will be notified to the Relevant Person in writing or electronically. If the request requires an additional cost, the fee in the tariff determined by the Board will be reflected to the Relevant Person.

Contact details of the Relevant Person:

Name Surname:

TURKISH ID NUMBER:

Telephone or Mobile Phone Number:

E-mail address (if the response is requested to be sent electronically):

Personal KEP Address (if the answer is requested to be sent electronically):

Address (if the answer is requested to be sent by post):

Explanations regarding the Relevant Person’s relationship with the company (such as candidate employee, supplier, customer, visitor):
Request of the Data Subject within the scope of Article 11 of the LPPD:
Signature and Date of the Relevant Person (in case of a paper application):