Application Form to Data Controller

1. General Explanations

Personal data owners (“Applicants”), who are defined as the relevant person in the Law No. 6698 on the Protection of Personal Data (“KVKK”), are granted the right to make certain requests regarding the processing of their personal data in accordance with Article 11 of the KVKK.

The application form has been prepared to determine your relationship with Serenity Sağlık Hizmetleri ve Turizm A.Ş (“Magic Smile”); and to determine your personal data processed by Magic Smile, if any, in full, and to respond to your relevant application accurately and within the legal period. In order to ensure the security of your personal data and to prevent unlawful data transfer, Magic Smile may request additional information for identification and authorization. If the information provided by the Applicant is not accurate and/or up-to-date or the requests are unauthorized, the responsibility for this matter belongs to the Applicant.

If the Applicant’s application is to be responded to in writing in accordance with Article 7 of the Communiqué on Application Procedures and Principles to the Data Controller, no fee will be charged for up to ten pages. A processing fee of 1 Turkish Lira may be charged for each page over ten pages. If the response to the application is given on a recording medium such as a CD or flash drive, a fee equal to the cost of the recording medium may be charged.

2. Scope of the Right to Apply Within the Framework of Article 11 of the KVKK

The Applicant may apply to Magic Smile and make requests regarding the following:

1) Learning whether or not his/her personal data has been processed,
2) Requesting information regarding his/her personal data if it has been processed,
3) Learning the purpose of processing his/her personal data and whether it has been used in accordance with its purpose,
4) Learning the third parties to whom his/her personal data has been transferred domestically or abroad,
5) Requesting correction of his/her personal data if it has been processed incompletely or incorrectly and requesting that the transaction made within this scope be notified to the third parties to whom his/her personal data has been transferred,
6) Requesting that his/her personal data be deleted, destroyed or anonymized in the event that the reasons requiring its processing have been eliminated, despite the fact that it has been processed in accordance with the provisions of the KVKK and other relevant laws, and requesting that the transaction made within this scope be notified to the third parties to whom his/her personal data has been transferred,
7) Objecting to the emergence of a result against him/her by analyzing his/her processed data exclusively through automated systems,
8) Personal request compensation for damages in case of damages due to unlawful processing of data.

3. Application Method

According to the first paragraph of Article 13 of the KVKK; applications to be made regarding these rights must be submitted to us in writing and signed or by other methods determined by the Personal Data Protection Board (“Board”).

Applications to be made in writing within this framework can be forwarded to us by printing out this form;
• By the Applicant’s personal application by hand,
• Through a notary,
• Registered electronic mail (KEP) address, secure electronic signature, mobile signature or
• By e-mail sent by the Applicant from the electronic mail address previously notified to us and registered in our system.

Below, information is provided specific to the written application channels regarding how written applications will be delivered to us.

Magic Smile may request additional information and take the necessary measures to verify the identity of the Applicant in applications made by e-mail.

Your applications sent to us will be answered in writing or electronically within thirty days from the date of notification or receipt of your request, depending on the nature of the request, in accordance with the second paragraph of Article 13 of the KVKK.

4. Your Identity and Contact Information

A. Applicant Contact Information

B. Please indicate your relationship with Magic Smile. (Visitor, Customer, Business partner employee, candidate employee, former employee, third party company employee, shareholder, etc.)

5. Subject of Request

Please specify your request within the scope of KVKK in detail:

Applicant

Name Surname:

Signature:

Click to download the form.