Today's Date 04-Dec-2023

Colocation Application Form (CAF) Colo Application Date 29-Nov-2023

PROGRAM 23NDXXXNW068663 - Falcon Q1 AOP 2024 (P2) Survey Date
Revision 2

TLP Name
PROTELINDO
Site ID TLP
JAW-WJV-0421-I-B

Site Name Isat Site ID Isat Building Height City Province

KEMPES_SUKATANI_CKR 03CKR821 0.00 Bekasi (Kab) West Java
Longitude Latitude Tower Height Vertical Space On Tower Site Type Tower Type

107.170680 -6.168750 41.00 (from: 38.5 m to 41.5m) GF SST

1. SECTORAL ANTENNAS
ANTENNAS DETAILS CABLES AND FEEDERS
E - Exist
Antena Dimension (m) Leg
Item IndexID N - New Quant Manufacturer Model (AxBxCxD)
Azim(0) Qty Size ('')
R - Remove Height (LxWxD)

1.1 N 1 40.0 COMBA ODI-065R17M18JJJJ-GQ V 2.680x0.355x0.192 50.00

1.2 N 1 40.0 KATHREIN KRE 101 2544 2.680x0.498x0.192 210.00

1.3 N 1 40.0 KATHREIN KRE 101 2544 2.680x0.498x0.192 300.00

1.4 1402537 R 1 40.0 UNKNOWN Unknown 2.680x0.355x0.192 50.00

1.5 1402538 R 1 40.0 UNKNOWN Unknown 2.680x0.355x0.192 190.00

1.6 1402539 R 1 40.0 UNKNOWN Unknown 2.680x0.355x0.192 310.00

Remarks : PTI:SMI

2 . MICROWAVE ANTENNAS
ANTENNAS DETAILS CABLES AND FEEDERS
E - Exist
Antena Dimension (m) Leg
Item IndexID N - New Quant Manufacturer Model (AxBxCxD) Azim(0) Qty Size ('')
R - Remove Height (LxWxD)

2.1 1402541 E 1 40.0 Unknown WTG12-127DAR 1.200 0.00

Remarks :
3 . OTHER EQUIPMENT
ANTENNAS DETAILS CABLES AND FEEDERS
E - Exist
Equip. Placement Dimension (m) Leg
Item IndexID N - New Quant Manufacturer Model (AxBxCxD) Azim(0) Qty Size ('')
R - Remove Type Height (LxWxD)

3.1 N RRU 1 40.0 ERICSSON RADIO 2219/2217 0.466x0.343x0.154 0.00

3.2 N RRU 1 40.0 ERICSSON RADIO 2219/2217 0.466x0.343x0.154 0.00
3.3 N RRU 1 40.0 ERICSSON RADIO 2219/2217 0.466x0.343x0.154 0.00
3.4 N RRU 1 40.0 ERICSSON Radio 6626 B1-B3 0.666x0.401x0.189 0.00
3.5 N RRU 1 40.0 ERICSSON Radio 6626 B1-B3 0.666x0.401x0.189 0.00
3.6 N RRU 1 40.0 ERICSSON Radio 6626 B1-B3 0.666x0.401x0.189 0.00
3.7 N RRU 1 40.0 ERICSSON Radio 6626 B1-B3 0.666x0.401x0.189 0.00
Radio 2219 1800 (466 x 343
3.8 1402542 R RRU 1 40.0 Unknown 0.466x0.343x0.154 0.00
x 154)
Radio 2219 1800 (466 x 343
3.9 1402543 R RRU 1 40.0 Unknown 0.466x0.343x0.154 0.00
x 154)
Radio 2219 1800 (466 x 343
3.10 1402544 R RRU 1 40.0 Unknown 0.466x0.343x0.154 0.00
x 154)
3.11 1402633 R RRU 1 40.0 Unknown Unknown 0.555x0.400x0.145 0.00
3.12 1402634 R RRU 1 40.0 Unknown Unknown 0.555x0.400x0.145 0.00
3.13 1402635 R RRU 1 40.0 Unknown Unknown 0.555x0.400x0.145 0.00
Radio 4429 B3 & Radio
3.14 1758984 R RRU 1 40.0 ERICSSON 0.420x0.343x0.160 0.00
4429 B1
Radio 4429 B3 & Radio
3.15 1758985 R RRU 1 40.0 ERICSSON 0.420x0.343x0.160 0.00
4429 B1
Radio 4429 B3 & Radio
3.16 1758986 R RRU 1 40.0 ERICSSON 0.420x0.343x0.160 0.00
4429 B1
Remarks :
4. Mini CME REQUIREMENTS
Dimention (m)
Item SCOPE DETAILS Length Width

4.1 Equipment pad New Upgrade Remove 2.40 1.50

Remarks :
5. SHELTER/POWER REQUIREMENTS
TYPE OF EQUIPMENT REQUIRED :
INDOOR (SHELTER) OUTDOOR (CABINET) 7 OTHER
ELECTRICITY REQUIREMENTS : KVA 10.60 n x A (phases) : 3
PERMANENT GENSET REQUIRED : YES 7 NO DIMENSIONS Length : Width :
Remarks : Use Existing PAD

RESULT FROM TLP

STRENGTHENING Need No Need Parallel Target :

MINI CME Need 7 No Need Target :

MANDATORY - To be filled by TLP

ADDITIONAL CHARGE Quota :21 qty or 9sqm

Yes Installed (Incl. new proposed) : 11 qty or 5.50sqm

7 No Price per Month :as attached

Remarks : If any additional charge, then TLP must request approval from Indosat before implementation or release permit

TLP TLP INDOSAT INDOSAT INDOSAT

Prepared By Leasing RAN Access Network Development Implemented Date Site Management

Mohamad Kurniawan
Requestor
Date: 29-Nov-2023 Date: Date: Date: Date:

Page 1 of 1