APPLICATION FORM IN ACCORDANCE WITH PERSONAL DATA PROTECTION LAW OF MİKROMAN MADEN
Date of Application : .... / .... / ......
1. Identity and Contact Information of Data Owner
Name-Surname :
T.R. Identity /Passport/Identity Number:
Notification Address :
Mobile Phone :
Telephone Number :
Fax Number :
E-mail Address:
Your relation with Mikroman Maden: Customer: Employee: Other:
Notification Method of Response: Post: e-mail: Fax:
2. Subject of Request
You can write your request regarding personal data in the section of “Subject of Request” below. Add information and documents to the Form, if available.
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* I hereby declare and undertake that the information and documents that I have notified in the application is accurate and your Company can ask for additional information and documents in order to finalise my application and it may be required for me to pay the fee specified by Council of Protection of personal Data in case of additional cost. In line with the requests I stated above, I request to evaluate my application and to provide information to me.The owner of personal data can make application in case that the owner has not attained the age of 19, his/her parents or guardian or custodian if he/she is under custody and the persons to whom the person concerned has given express power of attorney in this regard document this circumstance.
Applicant Relevant Person
Name-Surname :
Signature :
Method of Application
APPLICATION PATH, ADDRESS TO BE APPLIED, INFORMATION TO BE SHOWN IN APPLICATION
1. Personal application with wet signature as written or through notary
“Information Request for Proctection of Personal Data” shall be written to the section of subject of the application in Hisarardı Mahallesi Kanlılar Sokak No:18/A Yatağan/Muğla.
2. “Information Request for Proctection of Personal Data” shall be written to the section of subject of e-mail of mikromanmaden@hs01.kep.tr via the registered electronic mail (KEP).
3. The application is submitted to the e-mail address kvkk@mikroman.com.tr via electronic e-mail address in the system and “Information Request for Personal Data Protection” shall be written to the section of subject of e-mail.
Subject of Request
1. I would like to get information on whether your company processes data about me.
2. If my personal is processed by Mikroman Maden, I would like to get information on processing activities of this data.
3. If my personal is processed by Mikroman Maden, I would like to get information on whether they are used according to this purpose.
4. If my personal data is transferred to third parties in domestic or abroad, I would like to know these third parties.
5. I think that my personal data is processed incompletely or incorrectly and I request that these are corrected.
6. Even though my personal data is processed in accordance with the provisions of the law and other relevant law, I think that the reasons which require processing disappeared and in this context I request my personal data to be deleted or destroyed.
7. I request that my personal data that I think is incomplete or incorrectly processed is corrected in the presence of third parties transferred.
8. Even though my personal data is processed in accordance with the provisions of the law and other relevant law, I believe that the reasons which require processing disappeared and in this context I request my personal data to be deleted or destroyed and notified in the presence of third parties
9. My personal data processed by Mikroman Maden is exclusively analyzed through automatic systems and I think that there is a result against me personally. I object to this result.
10. I suffered loss due to unlawful procesing of my personal data. I request for compensation of this loss.
This application form that you have filled in has been issued in order to respond to your relevant application correctly within legal duration in relation to your personal data processed by our Company completely and accurately by determining your relation with Mikroman Maden, if available. Mikroman Maden reserves the right to request additional documents and information (such as copy of identity card or driving license) for determination of identity and authority in order to eliminate legal risks arising from unlawful and unfair data sharing and to ensure security of your personal data especially. In case that the information regarding your requests you submitted within the scope of the form is not correct and current or an application is made without authority, our Company refuses the responsibility due to the aforesaid incorrect information or requests related to authorized application or faults arising from delivery of our responses to the addresses you specified.
This section shall be filled by Mikroman Maden.
Date: .... / .... / .........
Name-Surname of Recipient:.................................................................
Signature:
