Data Owner Application Form

GREEN PETITION USA INC

1. Application Method

of the Personal Data Protection Law No. 6698 (" Law "), in accordance with Article 13 of the Law and Article 5 of the Communiqué on the Procedures and Principles of Application to the Data Controller, with this form using the 4 methods explained below. You can submit your application to our Company.

 

	APPLICATION METHOD	ADDRESS TO APPLY	INFORMATION TO BE SHOWN IN THE APPLICATION
1. Application in Writing	Application in person with wet signature or through notary	Demirtaş Dumlupınar OSB, Çiğdem 1 st. No:14 Osmangazi/BURSA 16110	“Information Request Within the Scope of the Personal Data Protection Law” will be written on the envelope/notification.
2. Registered Via Electronic Mail (KEP)	With registered e-mail (KEP) address	greenpetitiondistrade @hs06.kep.tr	“Personal Data Protection Law Information Request” will be written in the subject line of the e-mail.
3. Application using the e-mail address in our system	Your e-mail address registered in our company's system to be used by	kvkk@greenpetition.com	“Personal Data Protection Law Information Request” will be written in the subject line of the e-mail.
4. Application with an e-mail address not found in our system	Including mobile signature/e-signature Using your e-mail address that is not available in our company's system by	kvkk@greenpetition.com	“Personal Data Protection Law Information Request” will be written in the subject line of the e-mail.

 

 

1. With our company Your relationship

 

Your Relationship with Our Company	:	Customer		Worker
		Visitor		Other (Specify)

 

 

1. Identity and Communication Your information

Please fill in the fields below so that we can contact you and verify your identity.

 

Name surname	:
Turkish Identity Number / Passport Number or Identity Number for Citizens of Other Countries	:
Notification Based Residence Address / Workplace Address	:
Mobile phone	:
Phone number	:
Fax Number	:
E-mail address	:

 

1. Request Subject

1. How to Notify You of the Response Choose

To be sent to the e-mail address I provided in the 2nd part of the answer. I want.

 

I would like the response to be sent to the e-mail address I provided in section 2.

 

be sent to the fax number I provided in the 2nd part of the reply. I want.

 

 

In line with the requests I have stated above, I kindly request that my application to your Company be evaluated in accordance with Article 13 of the Law and that I be informed.

 

hereby in application to your side provided i am information And my documents TRUE And current is, I declare and undertake that I have been informed that your company may request additional information in order to finalize my application and that if it requires an additional cost, I may have to pay the fee determined by the Personal Data Protection Board. I do.

Name and Surname of the Relevant Person (Data Owner) Making the Application :

Application date :

Signature :

 

 

 

 

 

 

 

 

hereby application form, Our company with the one which... your relationship detection by, if there is, Our company by committed your personal data complete aspect by determining, relating to to your application TRUE And legal during reply It has been designed to be given. In order to eliminate legal risks that may arise from illegal and unfair data sharing and especially to ensure the security of your personal data, our Company reserves the right to request additional documents and information for identity verification and authorization determination. Within the scope of the form transmitting you are to your demands related information TRUE And current absence either in In case an unauthorized application is made, our Company accepts no liability for such incorrect information or requests arising from unauthorized application. It does not.