Data Subject Application Form
BURTECH KİMYA SANAYİ VE TİCARET LİMİTED ŞİRKETİ · Обновлено: 2026-08-23
Courtesy translation. In case of discrepancy, the Turkish text prevails.
BURTECH KİMYA SANAYİ VE TİCARET LİMİTED ŞİRKETİ
APPLICATION FORM UNDER THE PERSONAL DATA PROTECTION LAW
Use this form to exercise the rights listed in Article 11 of Turkish Law No. 6698. Using the form is not mandatory — a petition drawn up in line with the Communiqué on the Procedures and Principles of Application to the Data Controller is equally valid.
1. IDENTITY AND CONTACT DETAILS
| Field | Information |
|---|---|
| Full name | …………………………………………… |
| National ID / passport number | …………………………………………… |
| Address for service | …………………………………………… |
| Mobile phone | …………………………………………… |
| Other phone / fax | …………………………………………… |
| E-mail address | …………………………………………… |
| Relationship with the Company | ☐ Customer ☐ Visitor ☐ Dealer / applicant ☐ Supplier / partner ☐ Job applicant ☐ Other: ………… |
| Order / application number (if any) | …………………………………………… |
| Preferred reply method | ☐ E-mail ☐ Post ☐ In person (with power of attorney) |
2. SUBJECT OF THE REQUEST
☐ 1. I want to learn whether the Company processes personal data about me.
☐ 2. If so, I request information about those processing activities.
☐ 3. I want to learn the purpose of the processing and whether the data is used in line with that purpose.
☐ 4. I want to know the third parties in Türkiye or abroad to whom my data is transferred.
☐ 5. I believe my data is processed incompletely or incorrectly and request its correction.
☐ 6. I believe the reasons requiring processing have ceased and request erasure or destruction.
☐ 7. I request that the correction also be notified to the third parties my data was transferred to.
☐ 8. I request that the erasure or destruction also be notified to those third parties.
☐ 9. I object to a result produced against me solely by automated analysis of my data.
☐ 10. I have suffered damage due to unlawful processing and claim compensation.
Free text:
………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………
3. DECLARATION
I declare that the information and documents in this application are accurate, that the Company may request further information and documents in order to conclude my application, and that a fee set by the Personal Data Protection Board may become payable if the response entails a cost.
| Applicant — full name | …………………………………………… |
| Application date | ……… / ……… / ……………… |
| Signature | …………………………………………… |
*If the data subject is under 18, the parent or guardian; if under guardianship, the guardian; or a person expressly authorised by power of attorney may apply, upon documenting that status.*
4. HOW TO SUBMIT
| Method | Address | Required marking |
|---|---|---|
| In writing — in person with wet signature, or via notary | Pelitli Mah. Şantiye Cad. No: 10/1, 41400 Gebze / KOCAELİ | Write "Personal Data Protection Law — Data Subject Request" on the envelope |
| From an e-mail address registered in our systems | info@burtech.com.tr | Write the same phrase in the subject line |
- Applicants applying in person must present identification. Please present only the front side of the ID copy (so that blood type and religion fields are not visible).
- E-mail applications can only be made from an address already registered with the Company.
5. HOW THE APPLICATION IS CONCLUDED
- Your request is concluded free of charge within 30 days at the latest.
- If the response entails an additional cost, the tariff set by the Personal Data Protection Board may apply.
- If your application is rejected, the answer is insufficient, or no answer is given in time, you may complain to the Personal Data Protection Board within 30 days of learning the answer and in any case within 60 days of your application.
6. NOTICE
This form is designed so that your relationship with the Company can be established and your application answered completely, accurately and within the statutory period. To eliminate the risks of unlawful data disclosure and to protect your personal data, the Company reserves the right to request additional documents and information for identity and authority verification. The Company accepts no responsibility for requests arising from inaccurate or outdated information, unauthorised applications, or problems in delivering our reply to the address you provide.
| To be completed by the Company | |
|---|---|
| Received by | …………………………………………… |
| Date | ……… / ……… / ……………… |
| Signature | …………………………………………… |
Вопросы по этому документу: info@burtech.com.tr · 0850 244 18 80
