Material Dismantle Form

Document Date 0 2 0 4 2 0 2 0

Scrap √ Return Reloc

Reference Numbers

EWO/ NBWO No. FT/2650/TRM -156

Link ID JAW-BT-TNG-1665

Reservation No.

General Information

Delivery Date From Site ID/ Name 1439 KAMPUNG KOANG

Doc. Header Text

Receiving Plant

Storage Location *f/ faulty pls return to nearby remote warehouse

Recipient Nama penerima barang :

Detail Information

No Material Code Description Serial Number Qty Completeness Remarks

ANTENA 0,6 7Ghz MBT18D3DM22F130008 1

RADIO ODU MEREK NEC MBTMC0400012F472079 2

MODEM /IDU

Remarks : IDU Masih dipakai untuk Link / Modem Lain yang ke arah 0658 (IPASO 400A)

Sent By : Approve By: Approve By: Delivered By: Received by:

(Patner) (SPV Alita) (FOP) (Courier/Forwarder) (Alita Warehouse)

Sign : Sign : Sign : Sign : Sign :

Name : Vicky Mustagfiri Name : Name : Name : Name :

Company : PT Cura Company : Company : Company : Company :

Indonesia
Department : Department : Department : Department :
Department :

Note
*) Only f/ faulty material
*) Received by: (Alita Warehouse) diperuntukkan hanya khusus Material Dismantle Scrap dan Return