Classification: Mobily INTERNAL USE #

SITE ACCEPTANCE/CHANGE FORM

General Site Information
Vendor Nokia Site ID 4090 SAF Rev# 1 Region CR City/Area AR RIYADH Area Name Prince Turki Ibn Abdul Aziz Rdal
Latitude 24.751172 Civil Type GF (Zain Sharing) BH Type MW BH Capacity 300 2G Abis over IP IP PO# Stamp
Longitude 46.61125 CM Height 40 Penta Band Ant Type P1 RV4PX310RV2 DAS Type NA CAPEX 2017
Dual Band Ant Type D1 K 80010622V01 FDD TxRx Config 4T4R PO#
TDD TxRx Config 4T4R CAPEX 2017
Technology SAF G900 G1800 SAF U900 SAF U2100 FDD900 SAF FDD1800 SAF FDD2100 SAF TDD2600
Sector A B C A B C A B C A B C A B C A B C A B C A B C
Type / Qty P1/1 P1/1 P1/1 P1/1 P1/1 P1/1 P1/0 P1/0 P1/0 P1/1 P1/1 P1/1 P1/1 P1/1 P1/1 D1/1 D1/1 D1/1

Signature
Oriantaion 0 110 280 0 110 280 0 110 280 0 110 280 0 110 280 0 110 280
Antenna Information

Height 34 34 34 34 34 34 34 34 34 34 34 34 34 34 34 34 34 34
M/E-Tilt 0/7' 0/7' 0/7' 0/7' 0/7' 0/7' 0/5' 0/5' 0/5' 0/4' 0/4' 0/4' 0/4' 0/4' 0/4' 0/4' 0/4' 0/4'

Date
M Bracket Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
RET/MHA-TMA N/N N/N N/N N/N N/N N/N N/Y N/Y N/Y Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N
Combiner/Diplexer N/N N/N N/N N/N N/N N/N N/N N/N N/N N/Y N/Y N/Y N/Y N/Y N/Y N/N N/N N/N
Feeder Type F less F less F less F less F less F less F less F less F less N/A N/A N/A N/A N/A N/A N/A N/A N/A

RF Engineer A.J.Haduca

RF Manager A.Tarazi
Feeder Length(m) F less F less F less F less F less F less F less F less F less N/A N/A N/A N/A N/A N/A N/A N/A N/A

Name
Feeder Loss F less F less F less F less F less F less F less F less F less N/A N/A N/A N/A N/A N/A N/A N/A N/A
Technology G900 G1800 U900 U2100 FDD900 FDD1800 FDD2100 TDD2600
Sector A B C A B C A B C A B C A B C A B C A B C A B C

Mobily
Type / Qty Flexi/1 Flexi/1 Flexi/0 Flexi/0 Flexi/0 Flexi/0
RFModule Qty/ Typ 1/FXDB 1/FXDB 1/FRGU 2/FXED 2/FRGU 3/AZHA

Date Signature
Power 20 20 20 40 40 40 40 40 40 60 60 60 20 20 20 40 40 40
BTS Information

System Module
1/FSMF 1/FSMF 1/AirScale 0/AirScale 0/AirScale
Qty/Type
CE (DL/UL) N/A N/A N/A N/A N/A
BSS / EA E122/18 121/18 121/18 N/A N/A N/A

RF Manager Ahmed Mustafa

RF Engineer S.AL-GASEM
LAC / RAC or TAC 1221/122 1212/29 1212/29 1212/11120 1212/11120 1212/41110
Configuration 2 2 2 1 1 1 3 3 3 1/15' 1/15' 1/15' 1/5' 1/5' 1/5' 2 2 2

Name
4090 7/4/1

4090 8/5/2

4090 9/6/3

11 4090 A

11 4090 A
11 4090 B

11 4090 B
11 4090 C

11 4090 C

414090 A

414090 B

414090 C
4090 1

4090 2

4090 3

5090 1

5090 2

5090 3

Cell ID

Nokia
Comments

# INTERNAL USE