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459 Gercekkisi

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BİLGİ EDİNME BAŞVURUSU FORMU

(Gerçek Kişiler İçin)

Başvuru sahibinin adı ve

soyadı:

Oturma yeri veya iş adresi:

Türkiye Cumhuriyeti Kimlik Başvuruya hangi yolla cevap almak istersiniz?

No: (Elektronik ortamda
yapılacak başvurular için
Yazılı Elektronik
doldurulması zorunludur.)
Elektronik posta adresi:
(Elektronik ortamda yapılacak
başvurular için doldurulması
zorunludur.)
4982 sayılı Bilgi Edinme Hakkı Kanunu
gereğince istediğim bilgi veya belgeler aşağıda
İmzası: belirtilmiştir.
Gereğini arz ederim.

İstenen bilgi veya belgeler:

(Not: Ayrılan bölümdeki
boşluk yetmediği takdirde,
başvuru için boş sayfa /
sayfalar kullanılabilir.)

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