KVKK Application Form

SIRMERSAN MARBLE INDUSTRY INC.

6698 PERSONAL DATA PROTECTION LAW APPLICATION FORM

GENERAL EXPLANATIONS

Personal data owners (Applicant), defined as the relevant person in the Personal Data Protection Law No. 6698 (“KVKK”), are entitled to make certain requests regarding the processing of their personal data in Article 11 of the KVK Law.

Relevant Person who owns personal data can apply in the following ways.

Application Method

Address to apply

Information to be Specified in the Application Submission

In-person Application (Applicant must come with his/her own ID) or Registered Letter with return

Denizli OSB neighborhood İbrahim Çallı Street No:6 Honaz/DENİZLİ

“Information Request Under the Law on Protection of Personal Data” will be written on the envelope.

With the e-mail address previously notified to our company and registered in our company’s system.

kvkk@sirmersan.com

“Information Request Under the Law on Protection of Personal Data” will be written in the subject part of the e-mail. A signed copy of the application form must be attached to the e-mail.

  1. Applicant Contact Information:

Name surname :

Turkish Identity Number:

Phone number:

Email:

(We will be able to respond to you faster if you specify.)

Address:

  1. Please indicate your relationship with our Company.

☐ Customer

☐ Employee

☐ Visitor

☐ Former Employee

☐ Partner

☐ Job Application

☐ Other: ………………………………………………………..

  1. Please specify your request under the KVK Law in detail:
  2. Please choose the method of notifying you of our response to your application:
    • I want it sent to my address.
    • I want it sent to my email address.

(We will be able to respond to you faster if you choose the e-mail method.)

  • I want to receive it by hand.

I want to receive it by hand.

Your applications submitted to us will be answered within thirty days from the date of receipt of your request, in accordance with the second paragraph of Article 13 of the KVK Law, depending on the nature of the request. Our answers will be delivered to you in writing or electronically in accordance with the provisions of Article 13 of the relevant KVK Law. Your requests will be concluded free of charge, and if the response process incurs additional costs, a fee may be charged according to the tariff determined by the Personal Data Protection Board. Your requests will be concluded free of charge, and if the response process incurs additional costs, a fee may be charged according to the tariff determined by the Personal Data Protection Board.

I hereby consent to the processing of the information and documents I have provided in this application form by your Company, limited to the purposes of evaluating and responding to the application I have made pursuant to Article 13 of the Personal Data Protection Law No. 6698, to deliver my application, to determine my identity and address. In line with the requests I have stated above, I request that my application to your company be evaluated in accordance with Article 13 of the Law and inform me.

I declare and undertake that the documents and information I have provided to you in this application are correct and up-to-date and belong to me.

Applicant (Personal Data Owner) Name and Surname:

Application date :

Signature: