APPLICATION FORM TO THE DATA CONTROLLER INFORMATION TEXT
This Disclosure Text has been prepared by VTC Sağlık Hizmetleri Sanayi Ve Ticaret Anonim Şirketi, acting as the data controller, in accordance with Article 10 of the Personal Data Protection Law No. 6698 (“KVKK”) and the Communiqué on the Procedures and Principles to be Followed in Fulfilling the Disclosure Obligation, in order to inform you about the purposes of processing your personal data, legal reasons, collection method, to whom it may be transferred, and your rights under KVKK.
The following personal data you have shared through the “Application Form to the Data Controller” below;
Data Categories Examples of Data Types Processed in This CategoryIdentity DataYour name, surname, Turkish ID Number or Passport
Contact Data | Your phone number, email address, address of residence |
- It is processed for the purposes of carrying out the necessary evaluation and study on the subject you have applied for, ● Carrying out relevant business processes and communicating with you on the subject.
Additionally, we do not have absolute control over the information you share with this form.You may share your personal data and special personal data that you do not want us to know with our company. pWe advise you not to get involved.
The personal data in question is processed by automatic or non-automatic means based on the legal grounds of “data processing is mandatory for the data controller to fulfill its legal obligation and data processing is mandatory for the establishment, exercise or protection of a right” as set out in Article 5 of the KVKK, and the special personal data you will provide to us in the form is processed based on the legal grounds of “data processing is mandatory for the establishment, exercise or protection of a right” as set out in Article 6 of the KVKK, and will only be shared with the relevant judicial authorities in case of legal disputes.
You can make your requests within the scope of Article 11 of the Law regulating the rights of the relevant person, in accordance with the “Communiqué on the Procedures and Principles of Application to the Data Controller”, via the form below, to our communication channels.
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VİTRİN CLİNİC
APPLICATION FORM TO THE DATA CONTROLLER
- General Explanations
Personal data owners (“Applicants”), who are defined as the relevant person in the Personal Data Protection Law No. 6698 (“KVKK”), are granted the right to make requests regarding the processing of their personal data in accordance with Article 11 of the KVKK.
The application form has been prepared to identify your relationship with VTC Health Services Industry and Trade Inc. (“Vitrin Clinic”) and to fully identify your personal data, if any, processed by Vitrin Clinic, so that we can respond to your application accurately and within the legally required timeframe. To ensure the security of your personal data and prevent unlawful data transfer, Vitrin Clinic may request additional information to verify identity and authorization. If the information provided by the Applicant is inaccurate and/or outdated, or if the requests are unauthorized, the Applicant is responsible for this.
Pursuant to Article 7 of the Communiqué on the Procedures and Principles for Applications to the Data Controller, if the applicant’s application is to be responded to in writing, no fee will be charged for up to ten pages. A processing fee of 1 Turkish Lira may be charged for each page exceeding ten pages. If the response is provided on a recording medium such as a CD or flash drive, a fee equal to the cost of the recording medium may be charged.
- Scope of the Right to Apply within the Framework of Article 11 of the Personal Data Protection Law
The applicant may apply to Vitrin Clinic and make requests regarding the following matters:
1) Learning whether your personal data is being processed,
2) Request information regarding personal data if it has been processed,
3) To learn the purpose of processing personal data and whether they are used in accordance with their purpose,
4) To learn about the third parties to whom personal data has been transferred, whether domestically or abroad,
5) To request correction of personal data if it has been processed incompletely or incorrectly and to request notification of the action taken in this context to third parties to whom personal data has been transferred,
6) To request that the processing be carried out in accordance with the provisions of the KVKK and other relevant laws.Requesting the deletion, destruction or anonymization of personal data in case the reasons requiring it are eliminated and requesting the process to which personal data is transferred in this contextrequest notification to third parties,
7) To object to the emergence of a detrimental result by analyzing the processed data exclusively through automated systems,
8) To request compensation in case of damages due to unlawful processing of personal data.
- Application Method
In accordance with the first paragraph of Article 13 of the KVKK, applications regarding these rights must be submitted to us in writing and signed or by other methods determined by the Personal Data Protection Board (“Board”).
In this context, applications to be made in writing can be made by printing out this form;
- By the applicant’s personal application,
- Through a notary,
- It can be sent to us via registered electronic mail (KEP) address, secure electronic signature, mobile signature or ● It can be sent to us via e-mail from the e-mail address previously notified to us by the Applicant and registered in our system.
Below, information is provided specifically regarding the written application channels and how written applications can be submitted to us.
Application Method | Application In your post Information to be Specified | Application to be Made Address | |
1.Application written to be done whereas; 2. Application written to be done whereas; | Application in person (Applicant must apply in person) come with a document proving your identity apply) Notification via notary | On the envelope, write “Personal Data Protection Within the Scope of the Law “Request for Information” will be written. “Personal” should be written on the notification envelope. Data Protection Within the Scope of the Law “Request for Information” will be written. | İkitelli Organized Industrial Zone Neighborhood Süleyman Demirel Bul. Blacksmiths Industrial Site No: 4/1 interior door No: 2 Basaksehir / Istanbul İkitelli Organized Industrial Zone Neighborhood Süleyman Demirel Bul. Blacksmiths Industrial Site No: 4/1 interior door No: 2 Basaksehir / Istanbul |
3. Registered Electronic Mail (REM) By | Signed with a “secure electronic signature” Via Registered Electronic Mail (KEP) | Subject of the Email “Personal” section Data Protection Law on Information Request” will be written. | vtcsaglik@hs01.kep.tr |
4. In our system e Found Electronic Mailing Address Application with | Apply via Mobile Signature or Email (By the relevant person to the data controller previously notified and the data controller electronic data registered in the system using the postal address) | Subject of the Email “Personal” section Data Protection Law on Information Request” will be written. | kvkk@vitrinclinic.com |
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Vitrin Clinic may request additional information and take the necessary measures to verify the identity of the Applicant in applications made by the Applicant via e-mail.
In accordance with the second paragraph of Article 13 of the KVKK, your applications sent to us will be answered in writing or electronically within thirty days from the date of notification or receipt of your request, depending on the nature of the request.
- Your Identity and Contact Information
- Applicant Contact Information
Ad | |
Surname | |
Turkish ID Number / Passport Number (foreign whereas) | |
Telephone | |
Residence or Work Address |
- Please indicate your relationship with Vitrin Clinic.
(Visitor, Product or Service Recipient, Business partner, employee candidate, former employee, third-party company employee, shareholder, etc.)
Visitor Person Purchasing Product or Service Potential Product or Service Buyer Supplier Employee Supplier Representative Person Subject to News Exam Candidate | Everyone Shareholder/Partner Worker Employee Candidate Intern Parent / Guardian / Representative Other …………………………………………… |
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You are in contact with within our company; Unit:………………….……………………………………………………………………. Subject:……………………………………..…………………………………….……………… ………………………………………………………………………………………………… |
- Please select the method by which we will notify you of our response to your application:☐ I want it sent to my address.
☐ I want it sent to my email address. (We will be able to respond to you faster if you choose the email method.)
☐ I want to receive it in person. (If receiving it by proxy, a notarized power of attorney or authorization document is required.)
- Subject of Request
Please specify your request within the scope of KVKK in detail below.
………………………………………………………………………………………………………………………………. …………………………..…………………..…………….……………………………….………………………………. ………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………. …………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………….. ………………………………..…………………..…………….……………………………….……… ……………………….………………………………………………………………………………….
Applicant
Ad / Soyad:
Signature (if written application)
This text has been prepared within the scope of KVKK Compliance Consultancy.
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