Data Controller Application Form

ROYAL PHARMA PHARMACEUTICAL COSMETICS FOOD AND IND. INC.

DATA CONTROLLER APPLICATION FORM

1. GENERAL

In order to promptly, effectively, and comprehensively evaluate and resolve applications to be made by you data subjects pursuant to Articles 11 and 13 of the Law on the Protection of Personal Data No. 6698 (“KVKK”), this Application Form has been prepared by the data controller ROYAL PHARMA PHARMACEUTICAL COSMETICS FOOD AND IND. INC. (“ROYAL PHARMA” or the “Company”).

2. METHOD OF APPLICATION

As data subjects, pursuant to Articles 11 and 13 of the KVKK, you may submit your requests regarding the application of the KVKK to ROYAL PHARMA in its capacity as data controller, in writing by completing this form, or by other methods to be determined by the Board:

☐	By personally submitting a signed copy of this data subject application form to the address of the ROYAL PHARMA Building, BEYLİKDÜZÜ O.S.B. MAH. MUSTAFA KURTOĞLU CAD. NO:31 34520 BEYLİKDÜZÜ / ISTANBUL, in person,
☐	By sending a signed copy of this data subject application form from your registered electronic mail address to the (KEP Address) ____________ electronically signed or mobile-signed,
☐	By sending a signed copy of this data subject application form to the e-mail address ……………, using the electronic mail address previously notified to the data controller by the relevant person and registered in the data controller’s system

You may submit it.

3. INFORMATION ABOUT THE DATA SUBJECT

Pursuant to Article 5(2) of the Communiqué on the Procedures and Principles of Application to the Data Controller, please complete the following information in full so that we can identify you and carry out the necessary research, evaluation, and resolutions regarding your application:

Name and Surname*
T.R. Identity Number*
Address*
Phone Number*
E-mail Address*
Fax Number (optional)

*Fields required to be filled in.

The personal data you have provided to us above are obtained for the purpose of evaluating and concluding this form and contacting you, and are not processed for any other purpose.

By marking the appropriate option regarding your relationship with ROYAL PHARMA, please indicate in the space below whether the current relationship is still ongoing.

☐Customer☐Visitor☐Former Employee

☐Employee☐Business Partner☐Intern

☐Job Applicant ☐Supplier☐Other

4. REQUESTS OF THE DATA SUBJECT

As a data subject, please mark the relevant box in the list below for the situation(s) you wish to be informed about within the scope of Articles 11 and 13 of the KVKK.

YOUR REQUEST	REQUIRED INFORMATION/DOCUMENT	YOUR SELECTION
1. I would like to know whether my personal data are processed by ROYAL PHARMA.	If you would like to obtain information regarding a specific category of data, please specify. ……………………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………………….	☐
2. I would like to know for what purpose my personal data are processed by ROYAL PHARMA.	If you would like to obtain information regarding a specific category of data, please specify. …………………………………………………………………………….…….…………………………………………………………………………………………………………………………………………………………….……………………………………………………………………………….	☐
3. I would like to know whether my personal data are used in accordance with their purpose by ROYAL PHARMA.	If you would like to obtain information regarding a specific category of data, please specify. ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………	☐
4. If my personal data are transferred to third parties domestically or abroad, I would like to know the third parties to whom they are transferred.	If you would like to obtain information regarding a specific category of data, please specify. ………………………………………………………………….…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….	☐
5. I believe my personal data have been processed incompletely or inaccurately and I request their rectification.	Please specify the information you believe has been processed incompletely or inaccurately and how it should correctly be. .……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….	☐
6. I request that the rectification also be made before third parties to whom the personal data that I believe were processed incompletely/inaccurately have been transferred.	Please specify the information you believe has been processed incompletely or inaccurately and how it should correctly be. .……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….	☐
7. I request the deletion/destruction of my personal data due to the elimination of the reasons requiring their processing.	Please indicate which data are subject to this request and what adverse result you believe has occurred; please include supporting information and documents with the Form. ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….	☐
8. I request the deletion/destruction of my personal data before the third parties to whom they have been transferred due to the elimination of the reasons requiring their processing.	If this request concerns only some of your personal data, please specify which data they are and the justification for your request together with supporting information and documents; please include these supporting documents with the Form. ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….	☐
9. I believe that my personal data processed by ROYAL PHARMA have been analyzed exclusively through automated systems and that an outcome has arisen to my detriment as a result of this analysis. I object to this outcome.	Please state the justification for this request and the outcome of the situation regarding your request for information; please include supporting information and documents with the Form. ………………………………………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………………………….…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….	☐
10. I request compensation for the damage I have suffered due to the unlawful processing of my personal data.	Please state the justification for this request and the damage you believe you have suffered in the space below; please include supporting information and documents (Personal Data Protection Board or court decisions) with the Form. ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………. ……………………………………………………………………………….	☐
11. Other	Please briefly explain here the matter that is your request but is not offered in the options above. ………………………………………………………………………………………………………………………………………………………………. ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….	☐

For applications to be made by third parties on behalf of the data subject, a notarized power of attorney must be sent together with this form; for applications to be made on behalf of children under custody/guardianship, a copy of the documents proving the custody/guardianship relationship must be sent together with this form.

To ensure the security of your personal data, within seven (7) days from the date your request for information reaches ROYAL PHARMA, ROYAL PHARMA may contact you to verify that you are the data subject and may request certain information and documents from you in this regard. The information and documents you provide within this scope will be destroyed immediately after the verification that you are the data subject.

In case the requested information and documents are incomplete, upon our request, the information and documents must be completed and submitted to us. Until the information and documents are fully delivered to us, the period of thirty (30) days specified in Article 13/2 of the KVKK for concluding the request will be suspended.

5. CONCLUSION OF THE DATA SUBJECT’S REQUEST

Depending on its nature, your request will be answered as soon as possible and within no later than thirty (30) days from the date it reaches us pursuant to the KVKK. Our responses and evaluations will be sent to you in writing or electronically in accordance with Article 13 of the KVKK, depending on your choice in this application form. If you have a preference for the result of the application to be sent by post, e-mail, or fax, please indicate below:

I want the result of my application to be sent to my e-mail address.	☐
I want the result of my application to be sent by post.	☐
I want the result of my application to be sent by courier.	☐
I want the result of my application to be sent to my registered electronic mail (KEP) address.	☐

Your requests will be concluded free of charge by ROYAL PHARMA; however, if the response process incurs an additional cost, a fee may be requested in the amounts determined within the framework of the relevant legislation.

6. STATEMENT OF THE DATA SUBJECT

I kindly request that my request for information made under the KVKK be evaluated and concluded within the scope of the request(s) I have specified above, and I hereby accept, declare, and undertake that the information and documents I have provided to you in this application are accurate, up-to-date, and belong to me.

This application form has been prepared so that the data processed by ROYAL PHARMA can be identified and your application can be answered accurately and completely within the legal period. ROYAL PHARMA reserves the right, when evaluating your application, to request information and documents for identity verification. Within the scope of this application form, the applicant undertakes that the information provided is accurate and up-to-date. In the event that the information is not accurate or up-to-date, or an unauthorized application is made, ROYAL PHARMA does not accept liability for requests arising from incorrect information and unauthorized applications.

I also declare and undertake that I have been informed that ROYAL PHARMA may need to request additional information as a result of the application and that, if the action to be taken requires a cost, I must pay the fee determined by the Personal Data Protection Board.

Data Subject
Name and Surname
Application Date
Signature

This application form has been prepared for your requests arising from the rights listed in Article 11 of the Law on the Protection of Personal Data No. 6698. These requests are carried out within the scope of Articles 11 and 13 of the same law and Article 5 of the Communiqué on the Procedures and Principles of Application to the Data Controller.

If you apply to ROYAL PHARMA, the personal data you have stated in your application will also be processed for the purpose of concluding this application in accordance with the data processing conditions stipulated in Articles 5 and 6 of the Law and will be stored for 3 years in anonymized form.

Applicant

Name–Surname

Signature