Data Subject Application Form

EGE KESKIN GLASS INDUSTRY AND TRADE LIMITED COMPANY

DATA SUBJECT APPLICATION FORM

1. Application Method

In accordance with Article 11 of the Law on the Protection of Personal Data No. 6698 ("the Law"),you may submit your requests regarding your rights listed therein to our Company using one of themethods described below and in compliance with Article 13 of the Law and Article 5 of the Communiquéon the Procedures and Principles of Application to the Data Controller.

APPLICATION METHOD APPLICATION ADDRESS INFORMATION TO BE INCLUDED
1 - Written Application In-person application with wet signature or via notary ESKIHISAR MAH. 8025. SK. NO: 9/1 MERKEZEFENDI / DENIZLI Envelope must be labeled with “Information Request Under the Personal Data Protection Law”
2 - Application via Email Registered in Our System Using your email address registered in our Company system info@egekeskincam.com / egekeskincam@gmail.com The email subject must be “Information Request Under the Personal Data Protection Law”

Applications submitted to us will be responded to within thirty days as of the date of receipt,in accordance with paragraph 2 of Article 13 of the Law. Responses will be delivered in writing orelectronically, as per your preference.

2. Your Identity and Contact Information

Please complete the following fields so we can verify your identity and contact you.

The personal data you provide via this form will only be processed to evaluate, conclude andcommunicate regarding your application, and will not be processed for any other purpose.

Full Name
Turkish ID Number / Passport or ID Number (for foreign citizens)
Residential / Business Address
Phone Number
Fax Number
Email Address

3. Please specify your relationship with our Company (e.g., customer, business partner, job applicant, former employee, visitor)

☐ Customer☐ Business Partner
☐ Visitor☐ Former Employee
Years Worked: ………………………………………….
☐ Job Applicant / Shared CV
Date: ………………………………………….
☐ Other: ……………………………………………………………..

Department you were in contact with: …………………………………………

Subject: …………………………………………………………………………………………………

4. Please describe your request under the scope of the Law in detail:

……………………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………………

5. Please how you would like to receive our response to your application:

☐ I would like it to be sent to my address.

☐ I would like it to be sent to my email address. (We can respond faster via email.)

☐ I would like to receive it in person.
(If received by proxy, a notarized power of attorney or authorization document is required.)

This application form has been issued in order to identify your relationship with our Company,determine your personal data processed by our Company, and respond to your application accuratelyand within the legal period. To eliminate legal risks from unauthorized data sharing and to ensureyour data security, our Company reserves the right to request additional documents or information(e.g., copy of ID card or driver’s license) for identity verification. If the information submittedwith this form is inaccurate or the application is made by an unauthorized party, our Company shallnot be liable for claims arising from such incorrect or unauthorized applications.

Applicant (Data Subject) Full Name:

Application Date:

Signature: