I. Data Subject Information
Passport Number: …………………………………… Name-Surname : ……………………………………………………… |
II.Contact Information of the Data Subject
Phone Number: …………………………………………… Email Address for Notification: …………………………………………… Address for Notification: …………………………………………… |
III. Authorized Representative Making the Request on Behalf of the Data Subject
(If the applicant is different from the data subject, this section must be completed.) Turkish ID or Passport Number: …………………………………………… Full Name: …………………………………………… Date of Birth: …………………………………………… Relationship to Data Subject: …………………………………………… Phone Number: …………………………………………… Email Address: …………………………………………… Address: …………………………………………… (If you are a legal representative, please attach the relevant decision. A copy of an identity document may be requested to ensure personal data security.) |
IV. Relationship Information of the Data Subject
Please select the appropriate option below: ☐ Customer/Potential Customer ☐ Employee/Former Employee/Candidate ☐ Third Party/Supplier/Visitor ☐ Other ……………………………………………….. (please explain) For Customers/Potential Customers: ☐ I purchased goods and/or services. (Date: ……….) ☐ I received information about goods and/or services. (Date: ……….) ☐ Other: ……………………………………………(Date: ……….) For Employees/Former Employees/Candidates: ☐ Employee ☐ Former Employee (Employment Period (month/year): ……….) ☐ Job Application/Shared Resume (Application Date (month/year): ……….) ☐ Other: …………………………………………… For Third Parties/Suppliers/Visitors: · Name of the Company You Work For/Represent: …………………………………………… · Title/Position: …………………………………………… · Visitor (Date: ……….) For Those Who Select “Other”:(Briefly describe the relationship and the relevant period.) ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………… |
V.Please Specify Your Request Under the Scope of the Law on the Protection of Personal Data
(Please provide detailed information regarding the personal data related to your request, such as the department you worked in, the department/person/title you communicated with, the services you received, etc. Please attach any relevant information and documents to your application.) ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
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VI. Please Select Your Preferred Method for Receiving the Response to Your Request
☐ I would like it sent to my adress. ☐ I would like it sent to my email adress ☐ I would like it sent to my Registered Electronic Mail adress |
VII. Explanation
By completing this form, you may deliver a signed copy to the headquarters of LAL YAPI TUR. SEY. ORG. SAN. VE TİC. A.Ş. in person or via postal service, or you may send it via secure electronic or mobile signature email, through an email address you previously registered with LAL YAPI TUR. SEY. ORG. SAN. VE TİC. A.Ş., or through a notary. This form has been prepared to ensure that your request regarding your personal data processed by LAL YAPI TUR. SEY. ORG. SAN. VE TİC. A.Ş. is responded to correctly, completely, and within the legal time frame. To eliminate legal risks that may arise from unlawful and unjust data sharing and to ensure the security of your personal data, we reserve the right to request additional documents and information (such as a copy of your ID card or driver’s license) for identity and authorization verification. In applications made on behalf of the data subject by third parties, a notarized power of attorney must be submitted with this form. For applications regarding children under guardianship or custody, documents proving the guardianship or custody relationship must also be submitted with this form. To ensure the security of your personal data, LAL YAPI TUR. SEY. ORG. SAN. VE TİC. A.Ş. may contact you to verify your identity within the shortest possible time after your information request reaches us. The information and documents you provide will be immediately destroyed once the verification is completed. If the requested information and documents are incomplete, the 30-day period specified in Article 13/2 of the Law on the Protection of Personal Data will be suspended until all information and documents are provided. If the information provided within the scope of this form is not accurate and up-to-date or if an unauthorized application is made, LAL YAPI TUR. SEY. ORG. SAN. VE TİC. A.Ş. will not accept responsibility for such cases or for any issues that may arise during the delivery of responses to the specified addresses. Pursuant to Article 7 of the “Communique on the Procedures and Principles of Application to the Data Controller,” a fee of 1 Turkish Lira per page may be charged for written responses exceeding ten pages. If the response is provided on a medium such as a CD or flash drive, a fee may be charged based on the cost of the medium. |
To Be Completed by the Applicant/Data Subject or Their Representative
Under the Personal Data Protection Law, I kindly request that my application for information be evaluated and finalized within the framework of the request(s) I have stated above. I accept, declare, and undertake that the information and documents I have provided in this application are accurate, up-to-date, and belong to me. Date of Request: ………./…………/………. Name and Surname of the Applicant: …………………………………………. Signature: …………………………………………. To Be Completed by LAL YAPI TUR. SEY. ORG. SAN. VE TİC. A.Ş. Date Received: ………./…………/………. Name and Surname of the Receiver: …………………………………………. Title of the Receiver: …………………………………………. Signature: …………………………………………. |