Confidential Property of EMR

Passive Network Planning

TECHNICAL SITE SURVEY REPORT

Complex/Cluster/Building Name Aspol Panaikang

Site Address JL Urip Sumoharjo, Panaikang Makassar

Hub Plan Name Manggala

OLT / Sub Hub Plan Name Manggala

Survey Date 31 Maret 2022

Survey Company BELZIE

PT. EKA MAS REPUBLIK

MyRepublic Plaza 1st Floor
Green Office Park 6 Grand Boulevard
BSD - Tangerang Selatan
15345 Banten
I. REQUESTOR & SURVEYOR INFORMATION

1. Requestor Name :
2. EMR Department :
3. Contact Phone Number : 081237609990

II. SURVEYOR INFORMATION

1. Survey Date : 31 Maret 2022

2. Surveyor Name : Ikhsan

3. Survey Company : BELZIE

4. Contact Phone Number : 085340929295

III. SITE INFORMATION

:
1. Site Location Name Aspol Panaikang
Jl. Urip Sumoharjo,
2. Site Location Address :
Panaikang Makassar
3. Site Coordinates : -5.142797, 119.457945
1. Ikhsan
:
085340929295
4. Site Location PIC/Phone Number
2.
:

5. PKS Status : Done Not Done

6. Survey Map : ✓ Hardcopy ✓ Softcopy

HP OK : 584 HP
HP TK : 1 HP
7. Home Pass and Occupation : Total Homepass : HP HP RR : 0 HP
HP COVERED BY MR :
832 HP
9. Network Topology : FTTH / FTTB / HFC* *(Delete as applicable)

10. Service Type Delivered : TV / Internet / Voice / Triple Play* *(Delete as applicable)

11. Construction Type : SEWER * | AE / UG* *(Delete as applicable)

12. Existing Provider Network : Yes / No* | FTTH / FTTB / HFC*| SEWER / UG / AE *
*(Delete as applicable)

13. Existing Provider Name : Indihome, XL home, Iconet

14. Survey Result & Note :

Survey Result & Note :

Note : Site information shall refer to IMI Request For Survey Form released.

PT. EKA MAS REPUBLIK

MyRepublic Plaza 1st Floor Green Office Park 6 Grand Boulevard
BSD - Tangerang Selatan
15345 Banten
IV. GUIDANCE MAP / GOOGLE EARTH

SATELLITE PHOTO OF LOCATION

PT. EKA MAS REPUBLIK

MyRepublic Plaza 1st Floor Green Office Park 6 Grand Boulevard
BSD - Tangerang Selatan
15345 Banten
V. PHOTOS OF SITE ACTUAL CONDITION (Note : Photo size shall not exceed more than 500 kB)

MAINT GATE TO SITE LOCATION ACTUAL SITE LOCATION

ACTUAL SITE LOCATION ACTUAL SITE LOCATION

PT. EKA MAS REPUBLIK

MyRepublic Plaza 1st Floor Green Office Park 6 Grand Boulevard
BSD - Tangerang Selatan
15345 Banten
I. SIGN & CHECK MATRIX

SURVEY COMPANY PIC – EMR SURVEYOR / DEVELOPER /COMMUNITY

Name : 1. Name : Ikhsan

Date : Date :

PT. EKA MAS REPUBLIK

MyRepublic Plaza 1st Floor Green Office Park 6 Grand Boulevard
BSD - Tangerang Selatan
15345 Banten