{"id":153935,"date":"2025-07-01T14:26:04","date_gmt":"2025-07-01T14:26:04","guid":{"rendered":"https:\/\/clinicmono.com\/?page_id=153935"},"modified":"2026-11-08T16:22:22","modified_gmt":"2026-11-08T16:22:22","slug":"ilgili-kisi-basvuru-formu","status":"publish","type":"page","link":"https:\/\/clinicmono.com\/tr\/ilgili-kisi-basvuru-formu\/","title":{"rendered":"\u0130lgili Ki\u015fi Ba\u015fvuru Formu"},"content":{"rendered":"<section class=\"l-section wpb_row height_custom with_img\"><div class=\"l-section-img\" role=\"img\" aria-label=\"G\u00f6rsel\" style=\"background-image: url(https:\/\/clinicmono.com\/wp-content\/uploads\/2023\/05\/call1.jpg);background-repeat: no-repeat;background-size: auto;\"><\/div><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><h1 style=\"text-align: center;\">\u0130lgili Ki\u015fi Ba\u015fvuru Formu<\/h1>\n<\/div><\/div><nav class=\"g-breadcrumbs separator_icon align_center\" itemscope itemtype=\"http:\/\/schema.org\/BreadcrumbList\"><div class=\"g-breadcrumbs-item\" itemscope itemprop=\"itemListElement\" itemtype=\"http:\/\/schema.org\/ListItem\"><a itemprop=\"item\" href=\"https:\/\/clinicmono.com\/tr\/\"><span itemprop=\"name\">Clinic Mono<\/span><\/a><meta itemprop=\"position\" content=\"1\"\/><\/div><div class=\"g-breadcrumbs-separator\"><i class=\"far fa-angle-double-right\"><\/i><\/div><div aria-current=\"page\" class=\"g-breadcrumbs-item\" itemscope itemprop=\"itemListElement\" itemtype=\"http:\/\/schema.org\/ListItem\"><span itemprop=\"name\">Sayfalar<\/span><meta itemprop=\"position\" content=\"2\"\/><\/div><\/nav><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_custom\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><table class=\"request-table\" width=\"100%\">\n<tbody>\n<tr>\n<td><strong>I. \u0130lgili Ki\u015fi Bilgileri<\/strong><\/p>\n<p>T.C.Kimlik Numaras\u0131 : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026<\/p>\n<p>Ad\u0131 Soyad\u0131 : \u2026\u2026&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;<\/p>\n<p>Yabanc\u0131lar i\u00e7in Uyru\u011fu,<\/p>\n<p>Pasaport Numaras\u0131 ve varsa kimlik numaras\u0131:\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026..<\/td>\n<\/tr>\n<tr>\n<td><strong>II. \u0130lgili Ki\u015fi \u0130leti<\/strong><strong>\u015f<\/strong><strong>im Bilgileri<\/strong><\/p>\n<p>Telefon Numaras\u0131 : &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..<\/p>\n<p>Bildirime esas E-posta Adresi : &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..<\/p>\n<p>Tebligata Esas Adresi : &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..<\/td>\n<\/tr>\n<tr>\n<td><strong>III. Ba\u015fvuruyu \u0130lgili Ki\u015fi Ad\u0131na Yapan Yetkili Ki\u015fi <\/strong>(Ba\u015fvuru yapan ki\u015fi, veri sahibinden farkl\u0131 ki\u015fi ise doldurulacakt\u0131r.)<\/p>\n<p>T.C. Kimlik No: :&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..<\/p>\n<p>Ad\u0131 Soyad\u0131: :&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..<\/p>\n<p>Do\u011fum Tarihi : :&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..<\/p>\n<p>Yak\u0131nl\u0131k Derecesi: :&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..<\/p>\n<p>Telefon Numaras\u0131: :&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..<\/p>\n<p>E-posta Adresi: :&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..<\/p>\n<p>Adres: :&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..<\/p>\n<p>(Yasal temsilci iseniz ilgili karar\u0131 ek olarak iletiniz. Ki\u015fisel veri g\u00fcvenli\u011fi i\u00e7in kimlik belgesi talep edilebilir.)<\/td>\n<\/tr>\n<tr>\n<td><strong>IV. \u0130lgili Ki\u015fi \u0130li\u015fki Bilgisi<\/strong><\/p>\n<p>L\u00fctfen a\u015fa\u011f\u0131daki se\u00e7eneklerden size uygun olan\u0131 i\u015faretleyiniz.<\/p>\n<p>\u2610 M\u00fc\u015fteri\/ Potansiyel M\u00fc\u015fteri \u2610\u00c7al\u0131\u015fan\/Eski \u00c7al\u0131\u015fan\/Aday \u2610 \u00dc\u00e7\u00fcnc\u00fc Ki\u015fi\/Tedarik\u00e7i\/Ziyaret\u00e7i<\/p>\n<p>\u2610 Di\u011fer \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.. (l\u00fctfen a\u00e7\u0131klay\u0131n\u0131z)<\/p>\n<p><strong><u>M\u00fc\u015fteri\/Potansiyel M\u00fc\u015fteri taraf\u0131ndan doldurulacakt\u0131r.<\/u><\/strong><\/p>\n<p>\u2610 Mal ve\/veya hizmet sat\u0131n ald\u0131m. (Tarihi: \u2026\u2026\u2026\u2026\u2026\u2026\u2026)<\/p>\n<p>\u2610 Mal ve\/veya hizmetlerle ilgili bilgi ald\u0131m. (Tarihi: \u2026\u2026\u2026\u2026\u2026\u2026\u2026)<\/p>\n<p>\u2610 Di\u011fer:&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230; (Tarihi: \u2026\u2026\u2026\u2026\u2026\u2026\u2026)<\/p>\n<p>&nbsp;<\/p>\n<p><strong><u>\u00c7al\u0131\u015fan\/Eski \u00c7al\u0131\u015fan\/Aday taraf\u0131ndan doldurulacakt\u0131r.<\/u><\/strong><\/p>\n<p>\u2610 \u00c7al\u0131\u015fan<\/p>\n<p>\u2610 Eski \u00c7al\u0131\u015fan \u00c7al\u0131\u015fmaD\u00f6nemi(ay\/y\u0131l):&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/p>\n<p>\u2610 \u0130\u015f Ba\u015fvurusu \/ \u00d6zge\u00e7mi\u015f Payla\u015f\u0131m\u0131 yapt\u0131m. Ba\u015fvuruTarihi (ay\/y\u0131l) :&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/p>\n<p>\u2610 Di\u011fer :&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;<\/p>\n<p><strong><u>\u00dc\u00e7\u00fcnc\u00fc ki\u015fi\/Tedarik\u00e7i\/Ziyaret\u00e7i taraf\u0131ndan doldurulacakt\u0131r.<\/u><\/strong><\/p>\n<p>\u00c7al\u0131\u015ft\u0131\u011f\u0131n\u0131z\/Yetkisi oldu\u011funuz Firma Ad\u0131:&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/p>\n<p>Unvan\/Pozisyon:&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;<\/p>\n<p>\u2610 Ziyaret\u00e7i (Tarihi \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026)<\/td>\n<\/tr>\n<tr>\n<td><strong><u>Di\u011fer se\u00e7ene\u011fini i\u015faretleyenler taraf\u0131ndan doldurulacakt\u0131r.<\/u><\/strong><\/p>\n<p>(\u0130lgili ki\u015fi ili\u015fki bilgisini ve d\u00f6nemini k\u0131saca a\u00e7\u0131klay\u0131n\u0131z.)<\/p>\n<p>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026<\/td>\n<\/tr>\n<tr>\n<td><strong>V. Ki\u015fisel Verilerin Korunmas\u0131 Kanunu kapsam\u0131ndaki talebinizi detayl\u0131 olarak belirtiniz.<\/strong><\/p>\n<p>(L\u00fctfen talep konusu ki\u015fisel veriye ili\u015fkin detayl\u0131 a\u00e7\u0131klama yap\u0131n\u0131z. (\u00f6rne\u011fin \u00e7al\u0131\u015ft\u0131\u011f\u0131n\u0131z b\u00f6l\u00fcm, ileti\u015fimde oldu\u011funuz b\u00f6l\u00fcm\/ki\u015fi\/unvan bilgisi, ald\u0131\u011f\u0131n\u0131z hizmet\/b\u00f6l\u00fcm bilgisi vb.) (Talebinize ili\u015fkin bilgi ve belgeleri ba\u015fvuruya eklemenizi rica ederiz.)<\/p>\n<p>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;<\/p>\n<p>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;<\/p>\n<p>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;<\/p>\n<p>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;<\/p>\n<p>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;<\/p>\n<p>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;<\/td>\n<\/tr>\n<tr>\n<td><strong>VI. L\u00fctfen talebinize verece\u011fimiz yan\u0131t\u0131n taraf\u0131n\u0131za g\u00f6nderim y\u00f6ntemini se\u00e7iniz.<\/strong><\/p>\n<p>\u2610 Adresime g\u00f6nderilmesini istiyorum.<\/p>\n<p>\u2610 KEP adresime g\u00f6nderilmesini istiyorum.<\/p>\n<p>\u2610 E-posta adresime g\u00f6nderilmesini istiyorum.<\/td>\n<\/tr>\n<tr>\n<td><strong>VII. A\u00e7\u0131klama<\/strong><\/p>\n<p>Bu formu doldurarak, imzal\u0131 bir \u00f6rne\u011fini LAL YAPI TUR. SEY. ORG. SAN. VE T\u0130C. A.\u015e. \u015firket merkezine fiziki evrak \u015feklinde bizzat veya posta yolu ile teslim edebilir, g\u00fcvenli elektronik veya mobil imzal\u0131 mail yolu veya daha \u00f6nceden LAL YAPI TUR. SEY. ORG. SAN. VE T\u0130C. A.\u015e.\u2019e tan\u0131mlam\u0131\u015f oldu\u011funuz mail adresiniz \u00fczerinden veya noter kanal\u0131yla g\u00f6nderebilirsiniz. \u0130lgili ki\u015fi ba\u015fvuru formu, LAL YAPI TUR. SEY. ORG. SAN. VE T\u0130C. A.\u015e. taraf\u0131ndan i\u015flenen ki\u015fisel verilerinize ili\u015fkin eksiksiz ve isabetli olarak ba\u015fvurunuza do\u011fru, tam ve kanuni s\u00fcresi i\u00e7erisinde cevap verilebilmesi i\u00e7in d\u00fczenlenmi\u015ftir. Hukuka ayk\u0131r\u0131 ve haks\u0131z bir \u015fekilde veri payla\u015f\u0131m\u0131ndan kaynaklanabilecek hukuki risklerin bertaraf edilmesi ve \u00f6zellikle ki\u015fisel verilerinizin g\u00fcvenli\u011finin sa\u011flanmas\u0131 amac\u0131yla, kimlik ve yetki tespiti i\u00e7in, ek evrak ve malumat (N\u00fcfus c\u00fczdan\u0131 veya s\u00fcr\u00fcc\u00fc belgesi sureti vb.) talep etme hakk\u0131m\u0131z\u0131 sakl\u0131 tutmaktay\u0131z. \u0130lgili ki\u015fi ad\u0131na \u00fc\u00e7\u00fcnc\u00fc ki\u015filer taraf\u0131ndan yap\u0131lacak olan ba\u015fvurularda, i\u015fbu form ile birlikte noterce onaylanm\u0131\u015f vek\u00e2letnamenin, velayet\/vesayet alt\u0131nda bulunan \u00e7ocuklar ad\u0131na yap\u0131lacak ba\u015fvurularda ise i\u015fbu form ile birlikte velayet\/vesayet ili\u015fkisini tevsik edici belgelerin bir suretinin taraf\u0131m\u0131za g\u00f6nderilmesi gerekmektedir. Ki\u015fisel verilerinizin g\u00fcvenli\u011fini sa\u011flamak amac\u0131yla, bilgi edinme ba\u015fvurunuzun LAL YAPI TUR. SEY. ORG. SAN. VE T\u0130C. A.\u015e. ula\u015ft\u0131\u011f\u0131 tarihten itibaren en k\u0131sa s\u00fcre i\u00e7inde, LAL YAPI TUR. SEY. ORG. SAN. VE T\u0130C. A.\u015e., ilgili ki\u015fi oldu\u011funuzu teyit etmek amac\u0131yla sizinle ileti\u015fime ge\u00e7ebilecek, bu hususta sizlerden baz\u0131 bilgi ve belgeler talep edebilecektir. Bu kapsamda taraf\u0131m\u0131za sa\u011flam\u0131\u015f oldu\u011funuz bilgi ve belgeler, ilgili ki\u015fi oldu\u011funuzun teyit edilmesini m\u00fcteakip derhal imha edilecektir. Talep edilen bilgi ve belgelerin eksik olmas\u0131 durumunda, talebimiz \u00fczerine bilgi ve belgelerin tamamlanarak taraf\u0131m\u0131za iletilmesi gerekmektedir. Bilgi ve belgeler taraf\u0131m\u0131za tam olarak iletilene kadar talebin sonu\u00e7land\u0131r\u0131lmas\u0131na ili\u015fkin KVKK madde 13\/2\u2019de belirtilen otuz(30)g\u00fcnl\u00fck s\u00fcre ask\u0131ya al\u0131nacakt\u0131r. Form kapsam\u0131nda iletmekte oldu\u011funuz taleplerinize ili\u015fkin bilgilerin do\u011fru ve g\u00fcncel olmamas\u0131 ya da yetkisiz bir ba\u015fvuru yap\u0131lmas\u0131 halinde, s\u00f6z konusu yanl\u0131\u015f bilgi ya da yetkisiz ba\u015fvuru kaynakl\u0131 taleplerden veya belirtti\u011finiz adreslere cevaplar\u0131m\u0131z\u0131n g\u00f6nderimi s\u0131ras\u0131nda olu\u015fabilecek aksakl\u0131klardan dolay\u0131 LAL YAPI TUR. SEY. ORG. SAN. VE T\u0130C. A.\u015e. sorumluluk kabul etmemektedir. Veri Sorumlusuna Ba\u015fvuru Usul Ve Esaslar\u0131 Hakk\u0131nda Tebli\u011f m.7 uyar\u0131nca ilgili ki\u015finin ba\u015fvurusuna yaz\u0131l\u0131 olarak cevap verilmesi durumunda on sayfan\u0131n \u00fczerindeki her bir sayfa i\u00e7in 1 T\u00fcrk Liras\u0131 i\u015flem \u00fccreti al\u0131nabilir. Ba\u015fvuruya cevab\u0131n CD, flash bellek gibi kay\u0131t ortam\u0131nda verilmesi durumunda kay\u0131t ortam\u0131 maliyeti kadar \u00fccret al\u0131nabilir.<\/td>\n<\/tr>\n<tr>\n<td><strong>Talep Sahibi \/veya temsilcisi taraf\u0131ndan doldurulacakt\u0131r.<\/strong><\/p>\n<p>KVKK uyar\u0131nca yapm\u0131\u015f oldu\u011fum bilgi edinme ba\u015fvurusunun, yukar\u0131da belirtti\u011fim talep\/talepler \u00e7er\u00e7evesinde de\u011ferlendirilerek sonu\u00e7land\u0131r\u0131lmas\u0131n\u0131 rica eder, i\u015fbu ba\u015fvuruda taraf\u0131n\u0131za sa\u011flam\u0131\u015f oldu\u011fum bilgi ve belgelerin do\u011fru, g\u00fcncel ve \u015fahs\u0131ma ait oldu\u011funu kabul, beyan ve taahh\u00fct ederim.<\/p>\n<p>Talep Tarihi : &#8230;&#8230;&#8230;.. \/ &#8230;&#8230;&#8230;.. \/ &#8230;&#8230;&#8230;..<\/p>\n<p>Talep eden Ad\/Soyad : &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;<\/p>\n<p>\u0130mza : &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/p>\n<p><strong>LAL YAPI TUR. SEY. ORG. SAN. VE T\u0130C. A.\u015e.<\/strong> <strong>taraf\u0131ndan doldurulacakt\u0131r.<\/strong><\/p>\n<p>Teslim Alma Tarihi : &#8230;&#8230;&#8230;.. \/ &#8230;&#8230;&#8230;.. \/ &#8230;&#8230;&#8230;..<\/p>\n<p>Teslim Alan Ad\/Soyad :&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;<\/p>\n<p>Teslim Alan Unvan\u0131:&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;<\/p>\n<p>\u0130mza : &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"\u0130lgili Ki\u015fi Ba\u015fvuru Formu Clinic MonoSayfalar I. \u0130lgili Ki\u015fi Bilgileri T.C.Kimlik Numaras\u0131 : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026 Ad\u0131 Soyad\u0131 : \u2026\u2026&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230; Yabanc\u0131lar i\u00e7in Uyru\u011fu, Pasaport Numaras\u0131 ve varsa kimlik numaras\u0131:\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.. II. \u0130lgili Ki\u015fi \u0130leti\u015fim Bilgileri Telefon Numaras\u0131 : &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.. Bildirime esas E-posta Adresi : &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.. Tebligata Esas Adresi : &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.. III. Ba\u015fvuruyu \u0130lgili Ki\u015fi Ad\u0131na Yapan Yetkili Ki\u015fi...","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":"","_members_access_role":[],"_members_access_error":""},"procedure":[],"class_list":["post-153935","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/clinicmono.com\/tr\/wp-json\/wp\/v2\/pages\/153935","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clinicmono.com\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/clinicmono.com\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/clinicmono.com\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/clinicmono.com\/tr\/wp-json\/wp\/v2\/comments?post=153935"}],"version-history":[{"count":0,"href":"https:\/\/clinicmono.com\/tr\/wp-json\/wp\/v2\/pages\/153935\/revisions"}],"wp:attachment":[{"href":"https:\/\/clinicmono.com\/tr\/wp-json\/wp\/v2\/media?parent=153935"}],"wp:term":[{"taxonomy":"procedure","embeddable":true,"href":"https:\/\/clinicmono.com\/tr\/wp-json\/wp\/v2\/procedure?post=153935"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}