REQUEST AND COMPLAINT APPLICATION FORM REGARDING PERSONAL DATA

ALBURSA E-TİCARET A.Ş.
REQUEST AND COMPLAINT APPLICATION FORM REGARDING PERSONAL DATA
Our Registered e-mail (KEP): ………………………
Personal data owners (hereinafter referred to as the "Applicant") defined as the data subject in the Personal Data Protection Law No. 6698 ("KVK Law") have been granted the right to make certain requests regarding the processing of their personal data in Article 11 of the KVK Law.
In accordance with the first paragraph of Article 13 of the KVK Law; The Applicant's applications regarding these rights to our Company, which is the data controller (hereinafter referred to as "ALBURSA/Company"), must be submitted to us in writing or by other methods determined by the Personal Data Protection Board ("Board"). In this context, applications to be made to us in "written" form, by printing out this form; 1. With the personally wet-ink signature application of the Applicant, or 2. Via notary public, or 3. It can be forwarded to us by being signed by the Applicant with the "secure electronic signature" defined in the Electronic Signature Law No. 5070 and sent to the registered e-mail address of the Company. You must write “Information Request Under the Law on the Protection of Personal Data” on the Notification/Envelope to be sent.

A) Applicant Information
Full Name : ID / Pass No : Phone Number : Email : Address :
B) Please specify your request under the KVK Law in detail:
C) Please choose the method of notifying you of our response to your application: 1. I want it to be sent by post to the address I mentioned above. ☐ 2. I want it to be sent to my e-mail address. ☐ 3. I want to receive it by hand. ☐ (In case of hand delivery by power of attorney, you must submit a notarized power of attorney or a certificate of authorization.)
This application form has been prepared in order to determine your relationship with ALBURSA and to fully determine your personal data, if any, and to respond to your relevant application correctly and within the legal time limit (30 days). ALBURSA reserves the right to request additional documents and information (copy of identity card, passport or driving license etc.)
In the event that the information regarding your requests you submit within the scope of the form is not correct and up-to-date or an unauthorized application is made, ALBURSA does not accept any liability for such false information or requests arising from unauthorized applications. (Your application will be concluded free of charge, however, if the process requires an additional cost, the fee in the tariff determined by the Board may be charged.)
You hereby declare that you consent to the processing of the information and documents you have provided in this application form, limited to the purposes of evaluating, answering, delivering your application, and determining your identity and address, pursuant to Article 13 of the KVK Law.
Applicant’s (Personal Data Owner)
Full Name :
Application Date :
Signature :

Annex 1; Photocopy of Turkish Passport/ Identify card
Annex-2; Power of Attorney (for transactions made on behalf of the applicant)