Explicit Consent Statement Form as per PDPL

Within the scope of EXPLICIT CONSENT FOR THE PROCESSING OF MY PERSONAL DATA;

*I HEREBY EXPLICITLY CONSENT/AGREE ON * I DO NOT CONSENT that under the Law No.6698 on the Personal Data Protection and related legislative regulations, my personal information, I declared herein, which are collected within the scope of the activities offered by Best Dental Istanbul (Özel BDİ Agiz ve Dis Sagligi Polikinigi – Best Dental Istanbul Agiz ve Dis Sagligi Hizmetleri Ltd. Sti.) Ataköy 2-5-6. Kısım Mah. Rauf Orbay Cad. No.4 Yalı Ataköy C Blok A Entrance D:48-49 34158 Bakırköy / İstanbul – Turkey (Best Dental İstanbul), shared by me in any way, obtained through the cookies which are placed on the web site, provided by me with this consent form, is transferred by Best Dental İstanbul to it, its partners, affiliates, clinics within the scope of franchising or to performance assistants from which it receives service at home and abroad, that my photos before and after medical service are kept, that these photos are used in social media, software and corporate videos and that they are stored on servers protected in accordance with the legislation, for the purpose of service, treatment, appointment and campaign notifications, promotion of products and/or services, promotional information, personalized campaigns, advertising, targeting, analysis, and to confirm the identity information of the one logged in through website/mobile applications, to record the address and other necessary information for communication, to send SMS and e-mails to me, to provide the necessary information, to issue all records and documents that will be the basis of processing in electronic (internet / mobile etc.) or physical environment, and to fulfill the obligations undertaken in accordance with the legal relationship and contracts we have concluded within the scope of the relevant articles of the Law on Consumer Protection. to provide information to public officials on the public security matters, to fulfill legal obligations, to exercise legal rights, to perform Health Services, commercial activities and commercial purposes carried out by Best Dental İstanbul in accordance with the legislation, and to store such information.

I read the information text, thus I am aware that I can make a request regarding this data at any time under Article 11 of the Personal Data Protection Law (also stated in the Information text).

In case he/she intends to cancel the permission/approval/consent given to Best Dental İstanbul within the scope of this permission/consent, partially or completely, or to receive information about his/her personal data; I am aware that I may send an email to info@bestdentalistanbul.com or may get in contact with the headquarters at Ataköy 2-5-6. Kısım Mah. Rauf Orbay Cad. No.4 Yalı Ataköy C Blok A Entrance D:48-49 34158 Bakırköy / İstanbul – Turkey

Name, Surname: Date:

Signature: