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RBS 6000 FAMILY ACCEPTANCE TEST FORM

PT. XL AXIATA, Tbk

E-NODEB INSTALLATION ACCEPTANCE
( Turnkey Project - LTE )
Site Type : c Prime
c Eligible
c Non-Eligible

VENDOR/CONTRACTOR : PT.Nexwave
PROJECT NAME : Rollout 2019 - Existing
NBWO/EWO NUMBER : EL/6621
SITE NAME : L9_Plawad Utara
SITE NUMBER : 4411420E9
SITE COORDINATE : E/W
S/N
DATE OF ACCEPTANCE :
ACCEPTANCE STATUS :
PASS, NO PENDING ITEMS
PASS WITH PENDING ITEMS
REJECTED BY CUSTOMER

ACCEPTANCE BY :
VENDOR
Person Name & Signature ,Date

PT. HUAWEI SERVICE

1. FOC Engineer Name & Signature, Date

2. FOP Engineer Name & Signature, Date

3. FOC Supervisor Name & Signature, Date

This document and all material contained herein is protected by copyright, trade marks and other rights which are owned and/or
controlled by PT Ericsson Indonesia and/or its affiliates or by other parties that have licensed their material to PT Ericsson I

Copyright© 2015 PT Ericsson Indonesia

Prepared: EID/OJI/CCA Tatang Sukaman

Approved: EID/OJI/CE Yulpien Teng Date: 2015-06-26 Rev: B