Scoutium Application Form
<div> <p class="text-xs-center font-weight-bold">Application Form Pursuant to the Personal Data Protection Law</p> <p class="text-xs-center font-weight-bold">(“Application Form”)</p> <br> <p class="underline font-weight-bold">General Information:</p> <p> Personal data owners ("<strong>data owner</strong> ", "<strong> you</strong> ") defined as the person concerned in the Personal Data Protection Law No. 6698 ("<strong>Law</strong>") are granted certain rights regarding the processing of their personal data in Article 11 of the Law. </p> <p> Pursuant to paragraph 1 of Article 13 of the Law; you are required to submit your requests regarding the implementation of the Law and the relevant legislation by Scoutium ("<strong>Company</strong>"), who has the title of data controller, by one of the following methods or by other methods to be determined by the Personal Data Protection Board: </p> <ul> <li>The personal application of the applicant (the filled out printout of this Application Form and the applicant's identity incentive document must be personally delivered by the applicant to the address Reşitpaşa Mah. Katar Cad. Arı Teknokent 2 Sit. No:4/1/501, Sarıyer/İstanbul of the Company headquarters) </li> <li>You have the right to learn by signing with the "secure electronic signature" defined in the Electronic Signature Law No. 5070 by the applicant, by sending an e-mail to the e-mail address of [.] ("Personal Data Protection Law Information Request" will be written in the subject part of the e-mail.) </li> <li> or by sending the Application Form to the address Reşitpaşa Mah. Katar Cad. Arı Teknokent 2 Sit. No:4/1/501, Sarıyer/İstanbul , which is the company headquarters, via a notary ("Personal Data Protection Law Information Request" will be written in the notification envelope.). </li> </ul> <br> <p> In order to make the necessary research and evaluations regarding your application and to develop solutions regarding the subject, you must fill in the following fields accurately and completely. </p> <p>A. <span class="underline font-weight-bold">Contact information of the applicant data owner:</span></p> <p class="font-weight-bold">Name and Surname:</p> <p class="font-weight-bold">Date of Birth:</p> <p class="font-weight-bold">T.R. Identity No:</p> <p class="font-weight-bold">Phone Number:</p> <p class="font-weight-bold">E-mail Address:</p> <p class="font-weight-bold">Address:</p> <p>B. <span class="underline font-weight-bold">Contact information of the authorized person making the application on behalf of the data owner:</span> </p> <p class="font-weight-bold">Name and Surname:</p> <p class="font-weight-bold">Date of Birth:</p> <p class="font-weight-bold">T.R. Identity No:</p> <p class="font-weight-bold">Phone Number:</p> <p class="font-weight-bold">E-mail Address:</p> <p class="font-weight-bold">Address:</p> <p>C. <span class="underline font-weight-bold">Please indicate your relationship with the Company.</span></p> <p> <i class="font-italic">(Such as "Site user, company employee")</i> </p> <ul> <li> ☐ Site user </li> <li> ☐ Employee </li> <li> ☐ Other: </li> </ul> <br> <p>D. <span class="underline font-weight-bold">Please indicate your request under the Law in detail</span></p> <p> ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ </p> <p>E. <span class="underline font-weight-bold"> Please select the notification method to be used while replying to your application: </span></p> <ul> <li> ☐ I want it to be sent to my address. </li> <li> ☐ I want it to be sent to my e-mail address. </li> <li> ☐ I want to receive it by hand. </li> </ul> <br> <p> <i> (In case of receipt by proxy, there must be a notarized power of attorney or a certificate of authorization.) </i> </p> <br> <p> This Application Form was drafted to respond to your application in a correct manner and within legal period by identifying your relationship with our company and, if any, detecting your personal data processed by our Company. Our Company reserves the right to request additional documents and information <i> (copy of the identity card or driver's license) </i> for identification and authorization purposes to eliminate legal risks that may arise from data sharing in an illegal and unlawful manner, and particularly, to ensure the security of your personal data. In cases where the information on the request you submit under this Application Form is not correct and up-to-date or an unauthorized application is made, our Company declines responsibility for the claims that may arise due to such incorrect information or unauthorized application. </p> <p class="underline font-weight-bold">Relevant Applicant (Personal Data Owner)</p> <p class="font-weight-bold">Name and Surname:</p> <p class="font-weight-bold">Application Date:</p> <p class="font-weight-bold">Signature:</p> </div>