Form for Physical Access in BTS Site

(For vendor/operator/ third party people and contractors)

Name: Md. Mostafizur Rahman Organization: GPI AsiaTel

Designation: Commissioning Engineer ID 4044

Email: subrata.gpi2k19@gmail.com Mobile No: 01947-357123

Detail Justification for Physical Access in sites Jessore zone for New BTS MW Link

Physical Access Requested for: New BTS & MW Link BTS Code: JHKLG04

Digital, Analog,
Key Type: Key No:
Local
Key Return
Key Handover Date: 22-Aug-2020 27-Aug-2020
Date:

Reconcile Date Signature Reconcile Date Signature Reconcile Date Signature

I do hereby declare that I will safeguard the key at my level best. If I misplace the key or any unethical act
is discovered against me regarding the key, I will abide by the action taken by edotco against me.
____________________
Signature of user & date
Verified By Vendors authorized personnel Recommended by Responsible edotco/
RobiPersonnel
Name: Simon Kumar Sarker Fatema Binte Ahmed

ID: 2836
Designation: PM Project Manager
Department: Telecom Deployment & Rollout
Mobile No: 01885938634 01833182089
Signature

Recommended by : Approved by: Key Handed over by:

__________________________ _____________________
__________________________
Zone-In-Charge (iROM ) Custodian of the Key
Head of User Department