ANNEX-A

FORMAT FOR CERTIFICATION OF BTS FOR COMPLIANCE OF THE EMF EXPOSURE LEVELS (CALCULATION OF EIRP/EIRPth)
A-I : SITE DATA & TECHNICAL PARAMETERS Name of the BTS :
Item Site ID SITE DATA Name Date of Commissioning Address Lat / Long RTT / GBT Building Height AGL Antenna Height AGL System Type (GSM/CDMA/UMTS) TECHNICAL PARAMTERS Base Channel Frequency Carriers / Sector (Worst) Make and Model of Antenna Antenna Gain Total Tilt Vertical Beamwidth Side Lobe Attenuation Tx Power Combiner Loss (dBi) (Deg) (Deg) (db) (dBm) (db) (MHz) (m) (m) Units Operator 1 Operator 2

Date :
Operator n REMARKS

RF Cable Length Unit Loss EIRP (Base Channel) DTX factor ATPC factor EIRP (TCH) incl DTX , ATPC EIRP (Total)

(m) (dB/100m) (W)

(W) (W)

A-II : EIRP/EIRPth CALCULATION

Building 0 (B0) Computation of of EIRP/EIRPth at adjacent buildings/ conspicuous locations within 20 meters radius. Lat Long C1 Operator 1 Operator 2 Operator 3 Overall EIRP/EIRPth NORMALLY COMPLIANT (YES/ NO) Building 1 (B1) Azimuth Distance from BTS I Operator 1 Operator 2 Operator 3 II III IV Remarks C2 EIRPth at the Building Roof Top Corners and other points on the periphery of exclusion zone Building Top Corners C3 C4 Remarks

EIRPth at various floors of the building

Overall EIRP/EIRPth NORMALLY COMPLIANT (YES/ NO) Building 2 (B2) Azimuth Lat Distance from BTS Long Operator 1 Operator 2 Operator 3 Overall EIRP/EIRPth NORMALLY COMPLIANT (YES/ NO) Building 3 (B3) Azimuth Lat Distance from BTS Long Operator 1 Operator 2 Operator 3 Overall EIRP/EIRPth NORMALLY COMPLIANT (YES/ NO) Building 4 (B4) Azimuth Lat Distance from BTS Long Operator 1 Operator 2 I II III IV Remarks I II III IV Remarks I II III IV Remarks

EIRPth at various floors of the building

Computation of of EIRP/EIRPth at adjacent buildings/ conspicuous locations within 20 meters radius

EIRPth at various floors of the building

EIRPth at various floors of the building

Operator 3 Overall EIRP/EIRPth NORMALLY COMPLIANT (YES/ NO) EIRPth on the ground Operator 1 Operator 2 Operator 3 Overall EIRP/EIRPth NORMALLY COMPLIANT (YES/ NO)

ANNEX-B

FORMAT FOR CERTIFICATION OF BTS FOR COMPLIANCE OF THE EMF EXPOSURE LEVELS (SOFTWARE SIMULATION)
B-I : SITE DATA & TECHNICAL PARAMETERS Name of the BTS :
Item Site ID Name SITE DATA Date of Commissioning Address Lat / Long RTT / GBT Building Height AGL Antenna Height AGL TECHNICAL PARAMTERS System Type (GSM/CDMA/UMTS) Frequency of operation Make and Model of Antenna Antenna Gain Electrical Tilt Mechanical Tilt Tx Power (dBi) (Deg) (Deg) (dBm) (MHz) (m) (m) Units Operator 1 Operator 2

Date :
Operator n

B-II :ORTHOSLICE AT GROUND LEVEL

POWER DENSITY AT 2 M ABOVE THE GROUND LEVEL

ORTHOSLICE AT GROUND LEVEL

B-III :ORTHOSLICE AT ROOF TOP LEVEL

POWER DENSITY AT 2 M ABOVE THE ROOF TOP LEVEL

ORTHOSLICE AT ROOF TOP LEVEL

B-IV :EXCLUSION ZONES

EXCLUSION ZONES AND SAFETY SIGNAGE AT ROOFTOP

EXCLUSION DISTANCES

ANNEX-C

FORMAT FOR CERTIFICATION OF BTS FOR COMPLIANCE OF THE EMF EXPOSURE LEVELS (BROADBAND MEASUREMENT)
C-I : SITE DATA & TECHNICAL PARAMETERS Name of the BTS :
Item Site ID Name Date of Commissioning Address Lat / Long SITE DATA RTT / GBT Building Height AGL Antenna Height AGL Make and model of Antenna System Type (GSM/CDMA/UMTS) Base Channel Frequencies Carriers / Sector Tx Power (dBm) (MHz) Sec 1, Sec2, Sec 3 Sec1, Sec 2, Sec 3 Sec 1, Sec2, Sec 3 Sec1, Sec 2, Sec 3 Sec 1, Sec2, Sec 3 Sec1, Sec 2, Sec 3 (m) (m) Units

System Type:
Operator 1 Operator 2 Operator n REMARKS

C-II : BROADBAND MEASUREMENT OF POWER DENSITY (W/Sqm)

Building 0 (B0) Measured value of Power Density (W/Sqm) at adjacent buildings/ conspicuous locations within 20 meters radius. Lat Long Own Building Top Corners and other points on the periphery of exclusion zone C1 C2 C3 C4 Remarks

Dis. From Tower Base (m) ICNIRP Limit (W/Sqm) * Measured Value (W/Sqm) Ratio (Measured / ICNIRP) COMPLIANT (YES/ NO) Building 1 (B1) Azimuth Lat Distance from BTS Long ICNIRP Limit (W/Sqm) * Measured Value (W/Sqm) Ratio (Measured / ICNIRP) COMPLIANT (YES/ NO) Building 2 (B2) Azimuth Lat Distance from BTS Long ICNIRP Limit (W/Sqm) * I II III IV Remarks Measurement at various floors of the adjacent building I II III IV Remarks Measurement at various floors of the adjacent building

Measured Value (W/Sqm) Ratio (Measured / ICNIRP) COMPLIANT (YES/ NO) Building 3 (B3) Azimuth Lat Distance from BTS Long ICNIRP Limit (W/Sqm) * Measured Value (W/Sqm) Ratio (Measured / ICNIRP) COMPLIANT (YES/ NO) OTHER CONSPICUOUS LOCATIONS ON THE GROUND Spot 1 SPOT LANDMARK Spot 2 Spot 3 Spot 4 Spot 5 I II III IV Remarks Measurement at various floors of the adjacent building

MeasuredvalueofPowerDensity(W/Sqm)atadjacentbuildings/conspicuous locationswithin20metersradius.

Lat Long Azimuth Distance from BTS ICNIRP Limit (W/Sqm) * Measured Value (W/Sqm)

Ratio (Measured / ICNIRP Limit) RESULT

COMPLIANT (YES/ NO)

NOTE :* ICNIRP Limit will be for the worst case among all the bands present on the Site

ANNEX-D

FORMAT FOR CERTIFICATION OF BTS FOR COMPLIANCE OF THE EMF EXPOSURE LEVELS (FREQUENCY SELECTIVE MEASUREMENT)
D-I : SITE DATA & TECHNICAL PARAMETERS Name of the BTS : Date:

Item Site ID Name Date of Commissioning Address SITE DATA Lat / Long RTT / GBT Building Height AGL Antenna Height AGL Make and model of Antenna System Type (GSM/CDMA/UMTS) Base Channel Frequencies Carriers / Sector

Units

Operator 1

Operator 2

Operator n

REMARKS

(m) (m)

(MHz)

Sec 1, Sec2, Sec 3 Sec1, Sec 2, Sec 3

Sec 1, Sec2, Sec 3 Sec1, Sec 2, Sec 3

Sec 1, Sec2, Sec 3 Sec1, Sec 2, Sec 3

Tx Power

(dBm)

D-II : FREQUENCY SELECTIVE MEASUREMENT OF ELECTRIC FILED/ POWER DENSITY

Building 0 (B0) Lat Long Own Building Top Corners and other points on the periphery of exclusion zone C1 C2 C3 C4 Remarks

Measured value of Electric field (V/m) or Power Density (W/m2) at adjacent buildings/ conspicuous locations within 20 meters radius.

EBCCH1 Op 1 EBCCH2 EBCCH3 EBCCH1 Op 2 EBCCH2 EBCCH3 EBCCH1 Op 3 EBCCH2 EBCCH3 Operator 1 Exposure Index Operator 2 Operator 3 Aggregate of Exposure Index

Measured Value

COMPLIANT (YES/ NO) Building 1 (B1) Measured value of Electric field (V/m) or Power Density (W/m2) at adjacent buildings/ conspicuous locations within 20 meters radius Azimuth Lat Distance from BTS Long BCCH1 Op 1 BCCH2 BCCH3 BCCH1 Op 2 BCCH2 BCCH3 BCCH1 Op 3 BCCH2 BCCH3 Operator 1 Exposure Index Operator 2 Operator 3 Aggregate of Exposure Index COMPLIANT (YES/ NO) Building 2 (B2) Measurement at various floors of the adjacent building I II III IV Remarks Measurement at various floors of the adjacent building

2) at adj

Measured Value

Azimuth Lat

Distance from BTS Long BCCH1 Op 1 BCCH2 BCCH3 BCCH1 Op 2 BCCH2 BCCH3 BCCH1 Op 3 BCCH2 BCCH3 Operator 1 I II III IV Remarks

Exposure Index

Measured Value

Operator 2 Operator 3

Aggregate of Exposure Index COMPLIANT (YES/ NO) density (W/m2) at adjacent buildings/ OTHER LOCATIONS ON THE GROUND Spot 1 SPOT LANDMARK Spot 2 Spot 3 Spot 4 Spot 5

Azimuth Distance from BTS Lat Long BCCH1 Op 1 BCCH2 BCCH3 BCCH1 Op 2 BCCH2 BCCH3 BCCH1 Op 3 BCCH2 BCCH3 Operator 1 Exposure Index Operator 2 Operator 3 Aggregate of Exposure Index COMPLIANT (YES/ NO)

Measured Value