Today's Date 21-Apr-2020

Colocation Application
Colo Application Date 21-Apr-2020
Project Name : Revision

PROTELINDO SITE ID Island Province City

JAW-EJV-0133-H-P Java Jawa Timur Kediri

Latitude (Decimal/DMS) Longitude (Decimal/DMS) Site Type Tower Type

-7.81455195 111.99922151 GF SST

Building Height Tower Height Vertical Space On Tower Tower Extension Required
0 YES NO

Client Vendor Client Site ID Client Site Name Client Contact Contact Phone #
H3I 130152 ASRAMA TNI KODIM 0809
The information provided into this application is valid for 15 calendar days
1. BTS ANTENNAS (RF) DETAILS CABLES
e - exist
Dimensions (mm)
Item Indexid n - new Height (m) Quant Manufacturer Model Azim ( )
0
Quant Size (")
(LxWxD)
r -remove
1.1

1.2

1.3

1.4

Remarks:

2 . MW ANTENNAS (Transmission) DETAILS CABLES

e - exist
Item Indexid n - new Height (m) Quant Manufacturer Model Diameter (m) Azim (0) Quant Size (")
r -remove
2.1

2.2

2.3

2.4

2.5

2.6

2.7

2.8

2.9

2.10

2.11

2.12

2.13

2.14

2.15

2.16

2.17

2.18

2.19

2.20

Remarks:

3. TMA/ODU/RRU/FILTER/OTHERS DETAILS CABLES

e - exist
Dimensions (mm)
Item Indexid n - new Height (m) Quant Manufacturer Model Azim ( )
0
Quant Size (")
(LxWxD)
r -remove
3.1

3.2

3.3

3.4

3.5

3.6

3.7

Remarks:

e - exist
Item Indexid n - new Length Width 4 . GROUND SPACE DETAILS
r -remove
4.1

4.2

4.3

4.4

4.5
ADDITIONAL LEASED/SITAC REQUIRED : YES X NO DIMENSIONS Length : Width :
 Today's Date 21-Apr-2020
Colocation Application
Colo Application Date 21-Apr-2020
Project Name : Revision

PROTELINDO SITE ID Island Province City

JAW-EJV-0133-H-P Java Jawa Timur Kediri

Latitude (Decimal/DMS) Longitude (Decimal/DMS) Site Type Tower Type

ADDITIONAL CME CAPEX REQUIRED : YES X NO DIMENSIONS Length : Width :

Remarks:

5. SHELTER/POWER REQUIREMENTS
TYPE OF EQUIPMENT REQUIRED : INDOOR (SHELTER) OUTDOOR (CABINET) X OTHER
Remarks: Use Existing Cabinet Outdoor
ELECTRICITY REQUIREMENTS : kVA : n x A (phases) : phases
PERMANENT GENSET REQUIRED : YES X NO DIMENSIONS Length : Width :

Remarks:

Prepared by Leasing Engineering Colocation Client

Date Date Date Date Date

* The requested Coax Cable size is greater than the specification allowed in the MLA. Lessee must install the cables using a feeder cable clamp to reduce the wind loading effect on the tower.

Client acknowledges certain sites require permanent genset (no PLN available) and will be responsible for providing its own permanent power.