Version 2.0 · Last updated: 09.09.2026
- Send your request in writing (by hand or notary) or from your registered e-mail address.
- Identity details (ID/passport number) and an address are mandatory for verification.
- Answered free of charge within 30 days.
You may exercise your rights under Article 11 of Law No. 6698 in accordance with Article 13 and the Communiqué on the Procedures and Principles of Application to the Data Controller (Official Gazette 10.03.2018, No. 30356) as follows.
1. How to apply
| Method | Address | Notes |
|---|---|---|
| Written application (by hand or notary) | Karat 34 Center, Yenibosna Merkez Mah. 1. Asena Sk. No:23 D Block Floor 5 Unit 41, 34197 Bahçelievler / Istanbul, Türkiye | Mark the envelope “Personal Data Protection Law Request”. Identity is checked on hand delivery. |
| E-mail from your registered address | info@drmuhsinbalaban.com | From the e-mail address you previously gave us; subject line “KVKK Request”. |
| Secure electronic or mobile signature | info@drmuhsinbalaban.com | Signed under Turkish Law No. 5070. |
2. Required information (Communiqué Art. 5/2)
- Name, surname and, for written applications, signature;
- Turkish ID number for Turkish citizens; nationality, passport number or ID number for foreigners;
- Residential or business address for notification;
- E-mail, phone and fax number if available;
- Subject of the request.
Attach relevant documents. Applications on behalf of others require a notarised power of attorney; for minors, proof of guardianship.
3. Request form
Copy and complete the form below and send it through one of the channels above.
Data controller: Assoc. Prof. Muhsin Balaban, MD — Androfert Men’s Health Clinic
Address: Karat 34 Center, Yenibosna Merkez Mah. 1. Asena Sk. No:23 D Block Floor 5 Unit 41, 34197 Bahçelievler / Istanbul, Türkiye
A) Applicant
Name, surname: ______________________ ID / passport no: ______________________
Address: ____________________________________________
Phone: ______________ E-mail: ____________________
B) Relationship with the clinic: ☐ Patient ☐ Relative ☐ Website visitor / form sender ☐ Other: ________
C) Request (KVKK Art. 11):
☐ Learn whether my personal data is processed.
☐ Request information about processing.
☐ Learn the purpose and whether data is used accordingly.
☐ Learn the third parties to which data is transferred in Türkiye / abroad.
☐ Rectification of incomplete or inaccurate data (attach correct data).
☐ Erasure / destruction under Art. 7.
☐ Notification of rectification / erasure to recipients.
☐ Objection to a result produced solely by automated analysis.
☐ Compensation for damage caused by unlawful processing.
☐ Withdrawal of my explicit consent (subject: ____________).
D) Explanation and attachments: ____________________________________________
E) Reply method: ☐ Post to my address ☐ E-mail ☐ Hand delivery
I declare that the information in this application is accurate and current and that I accept identity verification for its assessment.
Date: ____/____/______ Signature: ______________
4. Process
- Your application is registered and your identity verified (additional information may be requested).
- The request is examined and concluded as soon as possible and within 30 days at the latest.
- The answer is sent in writing or electronically; if refused, reasons are given.
5. Fees
Applications are free of charge. If the answer exceeds 10 pages, the fee set in Article 7 of the Communiqué may be charged for each additional page; the cost of a storage medium (CD, USB) may be charged if requested.
6. Complaint to the Board
If your request 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 the application (KVKK Art. 14). A complaint cannot be made before applying to the data controller.
