KARTAL KİMYA SAN. VE TİC. A.Ş.
(“Company”)
APPLICATION FORM TO THE DATA CONTROLLER
Click here to download the Application Form.
1. Contact information of the Data Subject:
*Name-Surname:……………………………………………………………………. *Turkish ID Number:……………………………………………………………………
*Telephone and Fax Number:…………………………………………………………………… *E-mail address:……………………………………………………………………
*Business or Residence Address:……………………………………………………………………
2. Please indicate your relationship with the Company as the data subject. (e.g. Customer, former employee, employee of a third-party company)
To be filled in if services have been received/are being received
☐ I am a Customer
☐ I am a Former Customer
☐ Other: …………………..
Departments from which Services were Received:….………………………………………………………..…………………………………
Company Title where Employed:………………………………………..……………………………………
To be filled in if employed/formerly employed at the Company or if an employee of a third party
☐ I am a Current Employee
☐ I am a Former Employee
Years of Employment: ………………
☐ Other: …………………………………………
☐ I have Made a Job Application / Shared my CV
Date: ………
☐ I am an Employee of a Third-Party Company
Please indicate the company you work for and your position
…………………………………………………
3. *Please describe in detail your request within the scope of the Personal Data Protection Law:
*Please attach any information and documents related to the subject of the request.
………………………………………….………………………………………….……………………………………………………………………………
Explanation
By filling out this form and submitting a signed copy
* In person at Balçık Mahallesi Pelitli Yolu Caddesi No:140 Gebze Kocaeli address by having your identity verified; or
To the postal address Balçık Mahallesi Pelitli Yolu Caddesi No:140 Gebze Kocaeli; or
* To kartalkimya@hs01.kep.tr address with your secure electronic or mobile signature; or
* By having your identity verified, through other procedures specified in the Law and relevant legislation
you may submit it to us.
This application form that you have filled out has been prepared in order to determine your relationship with our Company and, if any, to accurately identify your personal data processed by our Company and to respond to your relevant application correctly and within the legal timeframe. In order to eliminate legal risks that may arise from unlawful and unjust data sharing and, in particular, to ensure the security of your personal data, our Company reserves the right to request additional documents and information (copy of identity card or driving license, etc.) for identity and authority verification. Our Company is not responsible for any problems that may arise during delivery to the address/e-mail. In the event that the information regarding your requests submitted within the scope of the form is inaccurate or outdated or an unauthorized application is made, our Company does not accept liability for claims arising from such incorrect information or unauthorized application.
Application Date : Name-Surname of the Applicant :
Signature* :
Date of Receipt of the Application : Name-Surname of the Recipient:
Signature :