WORK ORDER FORM

Technical Operation Department

Customer Technical Support Reconnect
PT. Eka Mas Republik
Graha FIM, Jl. Teuku Cik Ditiro No. 37
Menteng, Jakarta Pusat 10310

Work Order Information Customer Information

No. WO 3856392 Customer ID C2167958

BAST Number 3856392 Name Sherly Tambunan
WO Date 11 Januari 2024 SA Date 11 Januari 2024
Appt. Date 11 Januari 2024 Service Status Active
Service Aging Reconnect 0 PIC Sherly Tambunan
Appt. Type Reconnect Address DKI JAKARTA CIBUBUR (16830) CITRA
INDAH JONGGOL BUKIT ASTER JLN.
Existing Project [RFS]
Project Name BLOK AS3 Number 20 Kode Pos
[CBR.100.0401/BAS1.037/D04]
: 16830
Installation Type AERIAL
Class Type Customer Regular
Ticket Number
ONT (4 Port) V2 - Jet20 Combo
Package/Plan
Ticket Date 12 Januari 2024 Internet A - Combo TV (Jet20) A -
Initiate Ticket Category Billing Cycle Date 11
Value Account state 312500.00
Mobile 081210684314
Phone
Email castrosiahaan@gmail.com

Device Information
No Item ID Descriptions Serial Number Mac Address
1 ONTHW.001 HUAWEI OPTICAL NETWORK TERMINAL (ONT) 4857544300FF7FAE b414.e69c.c8b4
2 STB Android Box 1
3

Main Material Information

Device
No Item ID Descriptions Serial Number Mac Address Remark Status
Model
1 ONTHW.001 HUAWEI OPTICAL NETWORK TERMINAL (ONT) ONT
2 STB Android Box 1 STB #1
3

Accessories Material Information

Material Material
No. Material Name Unit QTY No. Material Name Unit QTY
Code Code
1 200000083 Cable A/V 3m pcs 10 200000242 Terminal Box + adapter SC-APC pcs
2 11 Cable pathcord single mode 20 m (SC-
200000101 Cable duct/protector TC2 pcs 200000243 pcs
APC to SC-APC)
3 12 Cable pathcord single mode 50 m (SC-

200000102 Pipa PVC/Conduit 20 mm pcs 200000244 APC to SC-APC) pcs

4 200000105 Clamp pipa conduit 20 mm pcs 13 200000245 Flexible 20mm (1m) meter
5 200000111 Sock pipa conduit 20 mm pcs 14 200000247 Adapter SC-APC to SC-APC pcs
6 200000117 Cable drop FO G657 dual core ( non mess ) meter 15 200000516 Splice-on Connector APC pcs
7 Cable drop FO G657 dual core With 16
200000118 meter 200000517 Splice-on Connector UPC pcs
Messenger
8 200000142 Pig Tail SC APC (2m) pcs 17 300000209 Fast Connector SC/APC pcs
9 Cable pathcord single mode 30 m (SC-APC 18
200000240 pcs 300000210 Fast Connector SC/UPC pcs
to SC-APC)

Free of charge: 150 meter note : Additional charge Rp 2500/ meter up to 100 meter
Remark to Contractor
Category Problem/Root Cause Analysis

Comments by Contractor
Done

Technician Information Solution & Finishing

Area Cibubur Installer Arrival Time 15:30
Contractor Konten Indomedia Pratama, PT Work Completed TIme 16:40
Installer Name Dodi Heriansyah Appt. Status/Work Order Successful
Installer Contact No. 085798542392 St Unsuccessful
Slot Time 3pm to 5pm

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Cibubur, ...................................................

Cust. Technical Support Signature Customer Signature & Name