1. General Information and Purpose of Use
This application form has been prepared by Art&Smile Dental Clinic (“Art&Smile”) and is used for the “application to be made to the data controller” within the scope of Article 13 of the Law on Protection of Personal Data No. 6698.
The applicant will be answered free of charge as soon as possible and within thirty days at the latest, depending on the nature of his request; however, in case of additional costs, Art&Smile may charge you a fee according to the tariff to be determined by the Personal Data Protection Board.
2. Application Path
You can make your application by filling out this form, by submitting any other written text other than this form, or by submitting it in person, by mail or courier, by any method determined by the Personal Data Protection Board and through the following communication channels:
Title: Artnsmile Oral and Dental Health Polyclinic Limited Company
Address: Yaşamkent Mah. 3158 Cad. No:32C/6 Çankaya / ANKARA
Telephone: 0312 217 20 22
Email: artnsmileclinic@gmail.com
KEP : artnsmile@hs01.kep.tr
3. Data Owner Information
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Name and Surname |
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T.C. No |
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Contact address |
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Telefon numarası |
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4. Submission of Request Result
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Please tick the communication channel that you want the result of your request to be delivered to you. |
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Send result to my e-mail account |
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The result will be mailed to my address. |
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5. Subject of Application
You can write your application subject and request below.
6. Data Owner Statement
I request that the application I have made pursuant to the Law on Protection of Personal Data No. 6698 be evaluated and finalized within the framework of the request/requests I have stated above, I accept, declare and undertake that the information and documents I have provided to you in this application are correct, up-to-date and belong to me.
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DATA OWNER |
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Name and surname |
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Application date |
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Signature |
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