General Statement:

Pursuant to paragraph 1 of Article 13 of the Personal Data Protection Law No.6698, you can hand in your request for exercising your rights specified in article 11 of the same Law, with filled version of this Form by personally coming to our company or notarized mail.

Information of Data Subject

Phone Number
E-mail Address
Relationship with our company
Unit/Subject in stated relationship
Method of notification of the reply to your application Mail E-mail Personally


I do not want my data to be processed


Detailed Request:

This application form has been prepared to determine your relationship with our company and to respond to your application in the right time. Our company reserves the right to request additional documents (such as Identity Card, etc.). Our company does not accept any liability for requests originating from unauthorized applications.


Data Subject (natural person whose personal data are processed)
Name-Surname :
Application Date :
Signature :


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