Data Owner’s Express Consent Declaration Form

QUALITY MANAGEMENT

DATA OWNER’S EXPRESS CONSENT DECLARATION FORM

Click here for download

For all kinds of my personal data, special quality personal data and personal health data, including those determining or used to determine my identity, which are given to “Asya Nakliyat Tic. Ltd. Sti.” verbally/in written and/or in electronic environment to be processed by “Asya Nakliyat Tic. Ltd. Sti.” in accordance with “the Personal Data Protection Law” no 6698 and “the Regulation regarding the Processing of the Personal Health Data and Ensuring their Privacy” and to be shared with the other persons and institutions in the cases where the sharing is necessary under the relevant legislations for “Asya Nakliyat Tic. Ltd. Sti.” to be able to provide health service and plan these services as a matter of course; for the personal and special quality personal data the details of which are given below within the scope defined in   “the Personal Data Protection Law” no 6698 and “the Regulation regarding the Processing of the Personal Health Data and Ensuring their Privacy” to be processed,
 

  1. Data which is certain that it belongs to a real person whose identity is definite or determinable; which is partially or wholly processed automatically or non-automatically as a part of the data recording system; which includes the information regarding the identity of the person; documents such as driving license, birth certificate and passport which include the information such as name-surname, T.R. Identity number, nationality information, mother’s name-father’s name, place of birth, date of birth, gender and tax number, SSI number, credit card information, signature information, vehicle plate and similar information,
  2. Information such as telephone number, address, e-mail address, fax number, IP address which is certain that it belongs to a real person whose identity is definite or determinable; which is partially or wholly processed automatically or non-automatically as a part of the data recording system,
  3. Personal data regarding the records and documents taken at the entry into a physical space and during the stay inside the physical space; camera recordings, finger print records and records taken at the security point which is certain that it belongs to a real person whose identity is definite or determinable; which is partially or wholly processed automatically or non-automatically as a part of the data recording system,
  4. Photographs and camera recordings (excluding the records within the scope of the Physical Space Security Information), data included in the documents which are the copies of the documents which include personal data, which is certain that it belongs to a real person whose identity is definite or determinable,
  5. Data set forth in the Article 6 of the Personal Data Protection Law (for example, health data including the blood type, biometric data etc.) which is certain that it belongs to a real person whose identity is definite or determinable; which is partially or wholly processed automatically or non-automatically as a part of the data recording system.
  6. Personal data regarding the receipt and evaluation of all kinds of requests and complaints addressed to “Asya Nakliyat Tic. Ltd. Sti.”, which is certain that it belongs to a real person whose identity is definite or determinable; which is partially or wholly processed automatically or non-automatically as a part of the data recording system,

 
I also have read the Information text and my rights set forth at the website of “Asya Nakliyat Tic. Ltd. Sti.” about the Protection and Processing of the Personal Data and
 
Specify your preferences for the processing of your personal data.
 

I Agree  
I Do Not Agree  

 
 
 
 

Data Owner  
Name and Surname  
Date  
Signature