(Regarding Applications to be Made by Personal Data Subjects to the Data Controller)
This Application Form has been prepared by Dr. Berra Önsoy, acting as the data controller, for the purpose of exercising the right to apply pursuant to Articles 11 and 13 of Law No. 6698 on the Protection of Personal Data (“Law”). Your personal data contained in this form will be processed in accordance with Article 5/2-ç (“necessary for the data controller to fulfill its legal obligation”) of the relevant Law and will be protected under the same Law.
Please select:
( ) Application regarding your own personal data
( ) Application regarding the personal data of another person (parents or guardians of persons under the age of 18, or guardians if under guardianship, or persons to whom the relevant person has expressly granted a special power of attorney in this regard)

REQUEST METHODS

Pursuant to Articles 11 and 13 of the Law, ÖNMED SAĞLIK LTD. You may submit your requests regarding the implementation of the Law to ŞTİ in writing by completing this form or by other methods determined by the Personal Data Protection Board (“Board”):

1. You may submit a signed copy of the data subject request form in person, by registered mail with return receipt, or through a notary public, to Bahçelievler Mah. Fevzi Çakmak 2 Cd. Güzelşehir No: 1 /429 Istanbul,

or
2. You may submit a signed copy of the data subject request form electronically, by email, to drberraonsoy@gmail.com.

Application Method
Application Address Information to be Specified in Application Submission
In-Person Application (Applicant Applying Directly with a Document Proving Their Identity) In case of in-person application, submit the application with a signed copy by submitting and submitting your identity document, submitting your signed copy of this form, Bahcelievler Mah. Fevzi Çakmak 2 Cd. Guzelsehir No: 1 / 429 Istanbul. The envelope should read “Request for Information Under the Personal Data Protection Law.”
Application by written mail (Signature Declaration): This form must be filled out and signed with a wet signature, in a sealed envelope, along with a notarized signature circular. The application must be submitted in a sealed envelope to Bahcelievler Mah. Fevzi Çakmak 2nd Street, Guzelsehir No: 1 / 429 Istanbul. The phrase “Request for Information Under the Personal Data Protection Law” must be written on the mail envelope.
By Notary Public: Written notification to Bahcelievler Mah. Fevzi Çakmak 2nd Street, Guzelsehir No: 1 / 429 Istanbul. The phrase “Request for Information Under the Personal Data Protection Law” must be written on the notification envelope. Signed with a “Secure Electronic Signature” and sent via Registered Electronic Mail (KEP) to: drberraonsoy@gmail.com The subject line of the email should read “Personal Data Protection Law Information Request.”

Your applications submitted to us will be responded to within 30 (thirty) days from the date your request reaches our Company, depending on the nature of the request, in accordance with Article 13, Paragraph 2 of the Law. Our responses will be delivered to you in writing or electronically, depending on your selection in this application form, in accordance with Article 13 of the Law. It is essential that you provide us with the complete and accurate information and documents requested from you, based on the nature of this form and your request. Failure to provide the requested information and documents may result in disruptions in the thorough and qualified conduct of any investigations conducted by our Company based on your request. In such cases, our Company reserves all legal rights. Therefore, the relevant form must be submitted completely and containing the requested information and documents, depending on the nature of your request.

APPLICANT RECOGNITION

In order for us to identify you as the applicant regarding your application and to conduct the necessary investigations within our Company based on the nature of your request, we must receive the following information. To ensure the security of your personal data, ÖNMED SAĞLIK LTD. ŞTİ may contact you within fifteen (15) days from the date your request for information is received by ÖNMED SAĞLIK LTD. ŞTİ to confirm your data ownership and may request certain information and documents from you in this regard. The information and documents you provide to us in this context will be destroyed immediately following confirmation of your data ownership.

If the requested information and documents are incomplete, the information and documents must be completed and resubmitted to us upon our request. The thirty (30)-day period specified in Article 13/2 of the Law for the completion of the request will be suspended until the information and documents are fully submitted to us.

REQUEST COMPLETION

Depending on the nature of your request, your request will be responded to as soon as possible and within thirty (30) days at the latest, from the date it is received by ÖNMED HEALTH LTD. ŞTİ., in accordance with the Law. Our responses and evaluations will be communicated to you in writing or electronically, in accordance with Article 13 of the Law, depending on your selection on this application form.

APPLICATION FORM:

IDENTIFICATION INFORMATION:

Name and Surname:

T.R. ID Number