One Clinic

Data Subject Access Request (DSAR) Form

Official Application Form pursuant to KVKK Articles 11 & 13 and EU GDPR

Under Article 11 of the Turkish Law on Protection of Personal Data No. 6698 ('KVKK') and the EU GDPR, data subjects ('Applicant') are granted the right to submit inquiries and make requests regarding the processing of their personal and health data.

Pursuant to Article 13/1 of KVKK, requests concerning these rights must be submitted in writing or via other methods designated by the Personal Data Protection Board to our Company as the Data Controller.

Official Submission Channels:

In Writing / Via Notary Public: ONE CLINIC SAĞLIK TURİZM REKLAM HİZMETLERİ VE DANIŞMANLIK TİCARET LİMİTED ŞİRKETİ (VKN: 6430830394, VERBİS: 20912877) — Şirinevler Meydanı, Mareşal Fevzi Çakmak Cd. Yaman İş Merkezi No: 1-3 Kat: 4 Kapı No: 10-11, 34188 Bahçelievler/İstanbul, Türkiye
Via Registered Electronic Mail (KEP): oneclinicsaglik@hs01.kep.tr (Official Turkish Registered Electronic Mail channel)
Via Registered E-Mail: info@oneclinic.co (Sent from your email address previously registered with our company)

Your application will be concluded free of charge as soon as possible and within thirty (30) days at the latest from the date of receipt, depending on the nature of the request, in accordance with Article 13/2 of KVKK. Our response will be transmitted to you in writing or electronically.

(Applications are concluded free of charge as a rule; however, if the transaction requires an additional cost, the fee in the tariff determined by the Data Protection Board may be charged.)

A. Applicant Contact Information

First Name:

Last Name:

Passport / ID Number:

Phone Number:

Email Address:

Official Notification Address:

B. Relationship of the Applicant with One Clinic

Please select your relationship with One Clinic:

Patient / ClientProspective Patient / VisitorBusiness Partner / Supplier EmployeeJob Applicant / Shared ResumeFormer EmployeeOther:

Unit / Person you communicated with at One Clinic:

Years worked (For former employees):

Company & Position (For supplier/partner personnel):

C. Subject of the Request and Details

(Please clearly state your request and specific details under Article 11 of KVKK and GDPR)

D. Delivery Method for the Official Response

(Please choose how you wish to receive the response)

Send to my physical address via registered mail.Send to my registered email address.Pick up in person at One Clinic headquarters.

Declaration and Undertaking

This form has been drafted to determine your relationship with our Company and to ensure an accurate and timely legal response. To eliminate legal risks from unauthorized disclosure and to safeguard personal data, our Company reserves the right to request additional identification documents (passport copy, ID, etc.).

If the information provided is inaccurate or out of date, or if an unauthorized request is submitted, our Company accepts no liability for claims arising from such inaccurate or unauthorized inquiries.

In accordance with the requests specified above, I kindly request my application to be evaluated under Article 13 of the Law and to be informed accordingly. I declare and undertake that the documents and information provided in this application are accurate, up to date, and belong to me personally.

I hereby consent to the processing of the information and documents provided in this application form by your Company, strictly limited to the purposes of evaluating, answering, delivering, and identifying my identity and address under Article 13 of KVKK No. 6698.

Applicant (Data Subject)

Full Name:

Application Date: 2026-11-10

Signature: