A. About applying

To exercise your rights under Article 11 of the Personal Data Protection Law No. 6698 ("KVKK"), you can apply to the data controller, Nova Sağlık Yönetim Danışmanlık ve Medikal Ürünler Sanayi Ticaret Limited Şirketi ("Nova Ambulans"). Using this form is not mandatory; it is enough for your application to contain the mandatory information below.

How to apply

Under Article 5 of the Communiqué on the Procedures and Principles of Application to the Data Controller, you can send your application by:

Channel	How
In writing	Fill in the form, sign it by hand, and deliver it by hand or send it by registered post with return receipt or through a notary to: Nova Sağlık Yönetim Danışmanlık ve Medikal Ürünler Sanayi Ticaret Limited Şirketi, Eğitim Mah., Avrasya İş Merkezi Asil Sk. No:3/C Kat:1 D:22/23, 34722 Kadıköy/İstanbul, Türkiye. Writing "Kişisel Verilerin Korunması Kanunu Kapsamında Bilgi Talebi" (request under the Personal Data Protection Law) on the envelope helps it reach the right team.
Secure electronic signature or mobile signature	Sign the form with your secure electronic signature or mobile signature and email it to kvkk@novaambulans.com.
The email address registered in our systems	Send from an email address you gave us earlier and that is registered in our systems to kvkk@novaambulans.com.

KVKK applications cannot be made by phone, WhatsApp or social media. Through these channels we can only give information about how to apply.

Mandatory content of the application (Communiqué Art. 5(2))

First and last name; signature if the application is in writing
For Turkish citizens, Turkish ID number; for foreign nationals, nationality and passport number or ID number if any
Residential or business address for service
Email address, phone and fax number for notifications, if any
Subject of the request

Please attach any information and documents relating to your request (Communiqué Art. 5(3)). Under Article 4(2) of the Communiqué, applications are made in Turkish.

Applying on behalf of someone else

If you apply on behalf of someone else, attach a document showing your authority:

Representative: a power of attorney certified by a notary
Parent of a child under 18: an identity document and a document showing parental custody
Guardian: the guardianship decision
Heir, for applications about a deceased patient: a certificate of inheritance

How your application is handled

The application date is the date the document is served on us for written applications, and the date it reaches us for other channels (Communiqué Art. 5(4)–(5)).
We may ask for more information to verify your identity, if needed. This is to prevent your data being given to someone else.
We conclude your application as soon as possible according to its nature and within thirty days at the latest, free of charge (KVKK Art. 13(2)).
If a written answer exceeds ten pages, a processing fee of 1 Turkish lira may be charged for each page over ten. If the answer is given on a storage medium such as a CD or flash drive, the fee cannot exceed the cost of the medium (Communiqué Art. 7). If the application arose from our error, any fee charged is refunded.
We accept your request or reject it with reasons, and send our answer in writing or electronically (KVKK Art. 13(3)).
We do not send answers containing health data by email; we hand them over in person or send them by registered post with return receipt in a sealed envelope marked "confidential".
If your application is rejected, you find our answer insufficient, or we do not answer in time, you may complain to the Personal Data Protection Board within thirty days of learning of our answer and in any case within sixty days of the application date (KVKK Art. 14).

Your information on this form

The information you give on this form is processed to conclude your application and verify your identity, under KVKK Art. 5(2)(ç) (legal obligation). Records of actions taken on deletion and destruction requests are kept for at least three years (Regulation on the Deletion, Destruction or Anonymisation of Personal Data, Art. 7(3)). Other application records are kept for the periods set by the applicable legislation; when these periods end, they are deleted, destroyed or anonymised.

B. Request form (printable)

You can print the form and fill it in, or save it as a PDF with the "Save as PDF" option in the print window. Nothing is entered or sent on screen.

Only the form below is printed.

NOVA SAĞLIK YÖNETİM DANIŞMANLIK VE MEDİKAL ÜRÜNLER SANAYİ TİCARET LİMİTED ŞİRKETİ

DATA SUBJECT APPLICATION FORM UNDER THE PERSONAL DATA PROTECTION LAW

1. Applicant details

First and last name *
Turkish ID number (foreign nationals: nationality and passport or ID number) *
Residential or business address for service *
Email address
Phone number
Fax number

* Mandatory field

2. Your relationship with Nova Ambulans

Tick what applies and give details that help us find your record.

PatientService date, pick-up and destination, case or protocol number:
Patient's relative, parent or guardianPatient's name and service date:
Called our call center or wrote to us on WhatsAppThe number you called or wrote from and the approximate date:
Employee of a corporate customerInstitution name and your role:
Employee of a supplier or business partnerCompany name and your role:
Website visitorDate, if you used the contact form:
Job applicantApplication date, position or application number:
Employee or former employeePeriod of employment and department:
OtherPlease explain:

3. Applying on behalf of someone else

I am applying on my own behalf.
I am applying on behalf of someone else. Name of the person I am applying for:

Document of authority:

Power of attorney
Custody document
Guardianship decision
Certificate of inheritance

Other:

4. Your request (KVKK Art. 11)

I want to learn whether my personal data is processed. (Art. 11(1)(a))
If my personal data has been processed, I request information about it. (Art. 11(1)(b))
I want to learn the purpose of processing and whether my data is used in line with it. (Art. 11(1)(c))
I want to know the third parties in Türkiye or abroad to whom my personal data is transferred. (Art. 11(1)(ç))
I want my incomplete or inaccurate personal data corrected. The data to be corrected and the correct version are below. (Art. 11(1)(d))
I want my personal data deleted or destroyed under KVKK Article 7. (Art. 11(1)(e))
I want the correction, deletion or destruction notified to the third parties to whom my data was transferred. (Art. 11(1)(f))
I object to a result against me arising from analysis of my data exclusively by automated systems. (Art. 11(1)(g))
I claim compensation for damage I suffered because my personal data was processed unlawfully. (Art. 11(1)(ğ))
I withdraw my consent for processing based on my explicit consent. Processing:

Description of your request (which data, which processing and which period; for a correction, the correct information):

5. How you want to receive the answer

By post to my address above (answers containing health data are sent in a sealed envelope marked "confidential")
To my email address above (answers containing health data are not sent by email)
By hand

6. Attachments

Copy of an identity document (only to verify your identity; please cover details such as religion and blood group)
Document of authority
Other:

7. Declaration and signature

I declare that the information on this form is accurate and up to date, and that I know my application will be assessed under the Communiqué on the Procedures and Principles of Application to the Data Controller.

First and last name
Date
Signature (for written applications)

This form is for applications to the data controller described in the General Privacy Notice (www.novaambulans.com/en/data-protection). Form version 1.0.