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Elra Remote Health Service Platform Member Relative Consent Form

GLOBAL COMPUTER CONTROL SYSTEMS INDUSTRY AND TRADE LIMITED COMPANY - ELRA REMOTE HEALTH SERVİCE PLATFORM MEMBER RELATIVE CONSENT FORM UNDER THE LAW NO. 6698 ON THE PROTECTION OF PERSONAL DATA

ELRA REMOTE HEALTH SERVİCE PLATFORM MEMBER RELATIVE – 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.

Members of the ELRA Health application may, if they wish, add information about their relatives (excluding children under 18 years of age for whom the member is a parent or legal guardian) to the application. By adding the relative’s name, surname, date of birth, Turkish ID number, gender, height, and weight, the member’s relative can receive services through the ELRA Health application without the need for a separate membership. The personal data of the member’s relative will only be processed if the relevant relative provides explicit consent.

If you give your explicit consent, your personal data (name, surname, date of birth, Turkish ID number, gender, height, weight) will be processed for the purposes of conducting medical diagnosis, treatment, and care services, managing remote healthcare service processes, ensuring compliance with legal obligations, conducting and auditing business operations, carrying out financial and accounting processes, and, when necessary and limited to what is required, sharing information with competent public authorities.

If you provide explicit consent, your personal data (name, surname, date of birth, Turkish ID number, gender, height, weight) may be transferred, within the scope of the aforementioned purposes, to the accounting firm providing financial consultancy services, the Revenue Administration (GİB), the Ministry of Finance, the Social Security Institution (SGK), and other authorized public institutions, to the healthcare organization providing remote health services, to the E-Nabız system of the Ministry of Health, to the invoiced party, and to the law firm providing legal services for the purpose of conducting and following up legal affairs.

We would like to remind you that you are free to give or not to give explicit consent, and that if you provide explicit consent, you may withdraw it 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 RELATIVE – EXPLICIT CONSENT DECLARATION

I have read and understood the “Elra Remote Health Service Platform Member Relative Clarification Text” (“Clarification Text”) and the “Preliminary Information” (“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.

Within the scope of the Clarification Text and Preliminary Information:

Processing of my name and surname information 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 gender information 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 date of birth information 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 height information 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 weight information 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 Turkish Identification Number 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 in accordance with my own free will and that I am aware 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 RELATIVE

Name – Surname:

Date:

Signature: