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Colocation Application For

SITE NAME INDOSAT* SITE ID INDOSAT * Province *


TEBLURU 20LMG034 East Java

Latitude (Decimal/DMS) Longitude (Decimal/DMS)


-6,9235 112.3216

Building Height Tower Height


52

CLIENT Client Site ID Client Site Name


PT. DAYAMITRA TELEKOMUNIKASI

1. SECTORAL AN
ANTENNA DETAILS
Item e - exist
Antenna
n - new Quant Manufacturer Model
Height
r -remove
1.1 e 48 3 Triple Band Huaw
1.2 n 48 1 Single band
1.3
1.4
1.5
1.6
1.7
1.8
1.9
Remarks:
2 . MICROWAVE AN
ANTENNA DETAILS
Item e - exist
Antenna
n - new Quant Manufacturer Model
Height
r -remove
2.1
2.2
2.3
2.4
2.5
Remarks:
3 . OTHER EQUI
RRU DETAILS
Item
Item e - exist
Placement
n - new Height Quant Manufacturer Model
r -remove
3.1 e 48 3 RRU 3959 (900)
3.2 e 48 3 RRU 3971 (1800
3.3 e 48 3 RRU 3826 (2100
3.4 e 48 3 kaelus Rejection Filter
3.5 e 48 3 comscope Junction box
3.6 n 48 1 RRU3971 (2100
3.7
Remarks:
4. Mini CME REQUI
Item MINI CME DETAILS
5.1 Pondasi (Shelter / Shelterless)
5.2 Vertical Tray
5.3 Horizontal Tray
5.4 ACPDB
5.5 Upgrade PLN
5.6 Others : 1
5.7 2
5.8 3
5.9 4
5.10 5
5.11 6
5.12 7
Remarks :
5. RESULT

STRENGTHENING □ Need
MINI CME
TOWER EXTENSION □ Need
RFI TARGET DATE (dd/mm/yyyy) :
Remarks :
OWNER OWNER

Date Date
Todays Date 11-Mar
ation Application Form
Survey Date
Revision

Province * City *
East Java LAMONGAN

Site Type Tower Type


GF SST
0 0

Client Site Name Client Contact Contact Phone #

1. SECTORAL ANTENNAS
ANTENNA DETAILS CABLES AND FEE
Dimensions (mm) Leg
Model Azim (0) Quant
(LxWxD) (AxBxCxD)

Triple Band Huawei 2533x353x209 - 3


Single band 1468x349x166 - 1

2 . MICROWAVE ANTENNAS
ANTENNA DETAILS CABLES AND FEE

Model Diameter (m) Leg Azim (0) Quant


(AxBxCxD)

3 . OTHER EQUIPMENT
RRU DETAILS CABLES AND FEE
Dimensions (mm) Leg
Model Azim (0) Quant
(LxWxD) (AxBxCxD)

RRU 3959 (900) 400x300x100 - 12


RRU 3971 (1800) 400x300x100 - 12
RRU 3826 (2100) 400x300x100 - 12
Rejection Filter 250x300x120 - 12
Junction box 317x266x101 - 12
RRU3971 (2100) 317x266x101 4

4. Mini CME REQUIREMENTS


Dimensions (m
Length
□ New □ Existing
□ New □ Existing
□ New □ Existing
□ New □ Existing Power(KVA) : [ ….....…..]
□ New □ Existing
□ New □ Existing
□ New □ Existing
□ New □ Existing
□ New □ Existing
□ New □ Existing
□ New □ Existing
□ New □ Existing

5. RESULTS

□ No Need Target : days


Target : days
□ No Need Target : days

WNER INDOSAT INDOSAT

Date Date
11-Mar

Tower Type
SST

Contact Phone #

CABLES AND FEEDERS

Quant Size (")

3 hybrid cable
1 hybrid cable

CABLES AND FEEDERS

Quant Size (")

CABLES AND FEEDERS


Quant Size (")

12 1/2" (jumper)
12 1/2" (jumper)
12 1/2" (jumper)
12 1/2" (jumper)
12 1/2" (jumper)
4 1/2" (jumper)

Dimensions (m)
Length Width

INDOSAT