FAILURE REPORT / FEEDBACK & ORDER FORM

Please fill in this form completely or service/repair may not be commenced

Company name and Address RMA No.
SENDER/ Eutelia S.p.A.
ORIGINATOR

INFORMATION Delivery Address Customer Ref No.

via P.Calamandrei 173- 52100 Arezzo

Completed by Telephone Cause of

0575 19 444 01 feedback
Mobile phone
Equipment
Telefax Failure

Respond to: Name E-mail address

Domenico Boriello Other

Contract No. Project Warranty claim

Yes No
Article code revision Article name or service problem area Serial no. Failure detection
IDU City Link 802 000 78 date/ period
July 2005
For equipment failure only - tick all that apply: h) At ambient temperature: ºC
a) In connection with installation process
b) During HW i) Frequency MHz
or SW Release/Upgrade or modification
c) In normal use j) SoftWareCode: Version: _

d) At switch on k) Requested Repair Service (As per Agreement):

e) Permanent failure Standard Repair
f) Random 24 hours Emergency Swap
g) Other failure
Description of the feedback/problem:

No connection with the ODU no reachable from remote

-Describe any circumstances/observations that could have contributed to the failure/problem (e.g. lightning, power
failure, human error, system error, etc. and attach any printouts of alarms, meter readings, measurements, etc.

If necessary, continue on separate sheets and attach.

Please send this information to: Nera Networks AS - Customer Services

Postal address Office address Telephone No: Telefax No:
P.O. Box 7090 Kokstadvegen 23 +(47) 55 22 51 00 +(47) 55 22 52 99

N-5020 BERGEN N-5257 KOKSTAD E-mail:

NORWAY BERGEN, NORWAY feedback@networks.nera.no for Customer Service Help Desk
repairs@networks.nera.no for Customer Service Repair

Nera198 rev. K, 2005-04-06.