Santa Farma Data Subject Application Form

Date: 31.08.2026 Rev: 2

LAW ON THE PROTECTION OF PERSONAL DATA DATA SUBJECT APPLICATION FORM

This Law on the Protection of Personal Data Data Subject Application Form ('Form') has been created by Santa Farma to be used in applications to be made by data subjects to exercise their rights specified in Article 11 of the Law No. 6698 on the Protection of Personal Data ('Law').

In the event that data subjects wish to make an application to Santa Farma to exercise these rights, this Form must be filled out completely, signed, and then submitted to Santa Farma via one of the following methods:

It can be sent with a wet signature to Santa Farma's address at H. Edip Adıvar, Boru Çiçeği Sokağı No:16, 34382 Şişli/İstanbul, together with official documents providing identity verification (identity card, driver's license, etc.).
The Form can be sent with a wet signature via a notary public to the address H. Edip Adıvar, Boru Çiçeği Sokağı No:16, 34382 Şişli/İstanbul.
The Form can be submitted to kvkk@santafarma.com.tr via the e-mail address previously notified to Santa Farma by the relevant person and registered in Santa Farma's system.
The Form can be signed with a secure electronic signature or mobile signature and sent to santafarmaas@hs01.kep.tr via the data subject's KEP (Registered Electronic Mail).

1. Information Regarding the Data Subject / Relevant Person

Please write the requested information for the proper evaluation of applications.


First Name and Last Name	:
TR ID Number / Passport Number	:
Notification Address	:
Telephone Number	:
E-mail address previously used in correspondence with Santa Farma or KEP address belonging to you	:

Please select the option that best defines your relationship with Santa Farma from those listed below, and detail the status of this relationship, the period during which the relationship took place if it has ended, and the department or branch contacted, if any, in the free-text area below.


Customer		Employee	Candidate Employee
Supplier		Visitor
Other	……………………

2. Information Regarding the Request of the Data Subject

Please tick your request or requests related to personal data from the list below.


I want to learn whether my personal data is processed.
If my personal data has been processed, I want to request information regarding this.
I want to learn the purpose of processing my personal data and whether these data are used in accordance with their purpose.
I want to know the third parties to whom my personal data is transferred domestically or abroad.
In case my personal data is processed incompletely or incorrectly, I want my information specified as additional information below to be corrected.
In case the reasons requiring the processing of my personal data cease to exist, I want them to be deleted or destroyed.
I want the correction process to be notified to third parties to whom my personal data has been transferred.
I want the deletion process to be notified to third parties to whom my personal data has been transferred.
I object to any result against me arising from the analysis of my personal data exclusively through automated systems.
I demand compensation for the damage I suffered due to the unlawful processing of my personal data.

If you think additional information is required based on your selection in the list above, please use the free-text area below.

3. Information Regarding Finalizing the Application

Santa Farma will conclude your request within thirty days at the latest and will respond by mail or digital media based on the address and e-mail / KEP information you provided in Section 1. If you have a specific preference among these channels for response, please specify below.


I want the response to be sent by mail via registered mail with return receipt requested.
I want the response to be sent to my e-mail / KEP address.

In case additional information is needed within the scope of evaluating the request, Santa Farma may contact you to finalize the application specified in this Form. Your application will be concluded free of charge, and if it requires an additional cost, a fee may be requested in amounts determined within the framework of the relevant legislation.

DECLARATION

I request that this application regarding my KVKK-specific requests specified in this Form be evaluated and finalized.


Name and Surname of Data Subject	:
Signature of Data Subject	:
Date	:
Name and Surname of Recipient	:
Signature of Recipient	:
Date	: