REQUEST CHANGE OR ADDITIONAL EQUIPMENT

CLIENT LOGO
Application Date
Revision

ISAT SITE ID

CLIENT SITE ID

SITE NAME

15BTL019

ZYKT_216

UMY

Latitude (Decimal/DMS)

Longitude (Decimal/DMS)

-07.814490

110.32447

REGIONAL
CENTAL JAVA

1-Mar-2015

ZONE

Site Address

Jagalan RT 03 RW 38 Kel. Bangun Jiwo, Yogyakarta

1. BTS ANTENNAS (RF)

ANTENNA DETAILS
Item

e - exist
n - new
r -remove

CABLES

Height (m)

Quant

Manufacturer

Model

Dimensions (mm)
(LxWxD)

Azim (0)

Quant

Size (")

1.1

28.0

ANDREW

CVV65CSX-M

2449 X 301 X 181

1/2

1.2

28.0

ANDREW

CVV65CSX-M

2449 X 301 X 181

120

1/2

1.3

28.0

ANDREW

CVV65CSX-M

2449 X 301 X 181

240

1/2

Azim (0)

Quant

Size (")

1/2

1.4
1.5
1.6
Remarks:

For new LTE use feederless

2 . MW ANTENNAS (Transmission)
ANTENNA DETAILS
Item

e - exist
n - new
r -remove

2.1

CABLES

Height (m)

Quant

Manufacturer

Model

Diameter (m)

28

ZTE

WTG03-12TAR-OTYC

0.3

2.2
2.3
2.4
2.5
2.6
2.7
2.8
2.9
Remarks:

3 . SHELTER EQUIPMENT
EQUIPMENT DETAILS
Item

e - exist
n - new
r -remove

SHELTER TYPE

Unit

TRAY
MODEL

SHELTER DIMENSIONS

3.1

outdoor Cabinet

BC8910A

800*600*600

3.2

outdoor Cabinet

PC8910A

800*600*600

WIDE

LONG

30

30

3.3
3.4
3.5
3.6
3.7
3.8
3.9
Remarks:

4 . AMPLIFIERS (TMA/ODU)
AMPLIFIER DETAILS
Item

e - exist
n - new
r -remove

CABLES

Height (m)

Quant

Manufacturer

Model

Dimensions (mm)
(LxWxD)

3.1

28.0

ZTE

R8862A-FDD

422*418*133

3.2

28.0

ZTE

R8964-TDD

440*290*134

3.3

15

ZTE

GPS

3.4

28.0

ZTE

FILTER

CLIENT COMPNAY NAME

Proposed by :

PLANNING MANAGER

Acknowledged by :

REGIONAL MANAGER

National SS Manager

Verified by :

Quant

Size (")

210*180*107

AU T H O R I S AT I O N
VENDOR COMPANY NAME

Azim (0)

Acknowledged / Approved / Rejected by :

PT.
INDOSAT
Approved / Rejected by :

PLANNING

WHOLE SALE