GLOBAL COMPUTER CONTROL SYSTEMS INDUSTRY AND TRADE LIMITED COMPANY - ELRA REMOTE HEALTH SERVİCE PLATFORM MEMBER CONSENT FORM UNDER THE LAW NO. 6698 ON THE PROTECTION OF PERSONAL DATA
ELRA REMOTE HEALTH SERVİCE PLATFORM MEMBER – PRELIMINARY INFORMATION FOR EXPLICIT CONSENT
Global Computer Control Systems Industry and Trade Limited Company (“Company”, “Global Computer”) pays utmost attention to act in compliance with the Law No. 6698 on the Protection of Personal Data (“KVKK”, “Law”) and its secondary legislation.
As a valued Elra Remote Health Service Platform member, you may choose to save your card information (name on the card, card number, expiration date, CVV) to the Elra Remote Health Service Platform application. If you provide your explicit consent, your card information will be processed so that you can receive services in the future without having to re-enter your card details.
If you give your explicit consent, your processed card information (name on the card, card number, expiration date, CVV) may be transferred to the company providing the payment system service, the law firm we use if necessary, and the relevant client receiving the software service (the healthcare institution where you receive health services under remote health services).
We would like to remind you that you are free to give or not to give explicit consent, and that you may withdraw your explicit consent at any time without providing any justification. We kindly ask you to mark the box below that reflects your free will regarding the processing of your personal data.
ELRA REMOTE HEALTH SERVİCE PLATFORM MEMBER – EXPLICIT CONSENT DECLARATION
I have read and understood the “Elra Remote Health Service Platform Post-Membership Process Clarification Text” (“Clarification Text”) and the “Preliminary Information” above, provided by Global Computer Control Systems Industry and Trade Limited Company under the Law No. 6698 on the Protection of Personal Data (“Law”).
Within the scope of the Clarification Text and Preliminary Information:
Processing of the name (first and last name) on my card for the purposes stated in the Clarification Text and Preliminary Information:
☐ I give my explicit consent.
☐ I do not give my explicit consent.
Processing of my card number for the purposes stated in the Clarification Text and Preliminary Information:
☐ I give my explicit consent.
☐ I do not give my explicit consent.
Processing of my card’s expiration date for the purposes stated in the Clarification Text and Preliminary Information:
☐ I give my explicit consent.
☐ I do not give my explicit consent.
Processing of my card’s CVV information for the purposes stated in the Clarification Text and Preliminary Information:
☐ I give my explicit consent.
☐ I do not give my explicit consent.
I hereby declare that I have marked the boxes above according to my own free will and that I am informed that I may withdraw my explicit consent regarding the matters for which I have given consent at any time.
ELRA REMOTE HEALTH SERVİCE PLATFORM MEMBER
Name – Surname:
Date:
Signature: