Colocation Application & Equipment

Installation Form

Today's Date

9-Jan-2015

Survey Date

31-Dec-2014

Revision
SITE NAME TBG *

SITE ID TBG *

Province *

City *

KERSANA

140572104

Jawa Tengah

Tegal

Site Type

Tower Type

Greenfield

SST

Latitude (Decimal/DMS) *

Longitude (Decimal/DMS) *

-6.92803

108.85473

Building Height *

Tower Height *
70 m

CLIENT/OPERATOR *

Client Site ID *

Smartfren

ZSMG_0462

Client Site Name *

Client Contact *

Contact Phone *

KERSANA

1. BTS ANTENNAS (RF)

ANTENNA DETAILS
Item

1.1
1.2
1.3

e - exist
n - new
r -remove

CABLES
Dimensions (mm)

Height (m) *

Quant *

Manufacturer

50.00
50.00
50.00

1
1
1

Andrew
Andrew
Andrew

N
N
N

Model
(LxWxD)

LDXX-6515DS-VTM
LDXX-6515DS-VTM
LDXX-6515DS-VTM

Mounting (m)
(BoomxArm) *

Leg
(AxBxCxD)

3
3
3

2027x549x165
2027x549x165
2027x549x165

Azim ( ) *

Quant *

Size (") *

0
120
240

4
4
4

1/2
1/2
1/2

1.4
1.5
1.6
1.7
1.8
1.9
Remarks:

2 . MW ANTENNAS (Transmission)
ANTENNA DETAILS
Item

2.1

e - exist
n - new
r -remove

Height (m) *

Quant *

Manufacturer

47.00

ZTE

CABLES

Model

Diameter ( M )

Mounting (m)
(BoomxArm) *

Leg
(AxBxCxD)

1.2

Azim (0) *

Quant *

Size (") *

1/2

2.2
2.3
2.4
2.5
2.6
2.7
2.8
2.9
Remarks:

3 . OTHER (RRU/FILTER/GPS)
RRU DETAILS
Item

3.1
3.2
3.3

e - exist
n - new
r -remove

CABLES
Dimensions (mm)

Height (m) *

Quant *

Manufacturer

50.00
50.00
14.00

3
3
1

Mobi
ZTE
ZTE

N
N
N

Model
(LxWxD)

RRU R8862A-FDD
Filter
GPS

Mounting (m)
(BoomxArm) *

Leg
(AxBxCxD)

Azim (0) *

Quant *

422x218x133
210x180x107

3.4
Remarks:

4. LAND SPACE REQUIREMENTS

* TYPE OF EQUIPMENT :

Outdoor (Cabinet)

Indoor (Shelter)

* SHELTER/CABINET DIMENSION :

Length :

* LAND SPACE DIMENSION :

Length :

Other (See Remarks)

Width :
1.75

Width :

Height :

._____

1.3

Layout must be provided

Remarks:
ELECTRICITY REQUIREMENTS :

kVA : 2.2

n x A (phases) : 1 Phases

TBG
MARKETING/PLANNING

Date

TBG
ASSET/PROJECT

Date

OPERATOR

Date

OPERATOR

Date

Size (") *

PROPOSED
BASE FRAME SMRTFREN
(1750 x 3500 mm)

Box Control

SST - 70 M

PROPOSED
ACPDB SMARTFREN

PROPOSED
KWH SMARTFREN