Todays Date 13-Dec-2020

Colocation Application Form (CAF)

Survey Date

Q1 2021 Battle 1 - Transport

PROGRAM Revision
MW Intermediate Upgarade BT

TLP Name Mitratel

Site ID TLP

Site Name Isat Site ID Isat Building Height City Province

BATUJAJAR 03CBN251 BOGOR WEST JAVA

Longitude Latitude Tower Height Site Type * Tower Type *

106,583694 -6,426167 72 Greenfield SST

1. SECTORAL ANTENNAS
ANTENNA DETAILS CABLES AND FEEDERS
Item e - exist
Dimensions (mm) Leg 0
n - new Quant Antenna Height Manufacturer Model Azim ( ) Quant Size (")
(LxWxD) (AxBxCxD)
r -remove
1.1
1.2
1.3
1.4
1.5
1.6
Remarks:
2 . MICROWAVE ANTENNAS
ANTENNA DETAILS CABLES AND FEEDERS
Item e - exist
Leg 0
n - new Quant Antenna Height Manufacturer Model Diameter (m) Azim ( ) Quant Size (")
(AxBxCxD)
r -remove
2.1
2.2 e - exist 1 52 ZTE TYA12U013D 1,2 A 56,1 1 1/2
2.3
2.4
2.5
2.6
Remarks: ANTENNA H: 52 .0 m, 13GHz ,03CBN251 BATUJAJAR - 03CBN375 KAMPUNG_BULUH (Upgrade HW from 3+0 to 4+0)
3 . OTHER EQUIPMENT
RRU/FILTER/JUNCTION BOX/ODU DETAILS CABLES AND FEEDERS
Item e - exist
Dimensions (mm) Leg 0
n - new Quant Placement Height Manufacturer Model Azim ( ) Quant Size (")
(LxWxD) (AxBxCxD)
r -remove
3.1 n - new 1 52 ZTE ODU 252x278x109 A 1 1/2
3.2
3.3
3.1
3.2
3.1
3.1
3.1
3.2
3.10
3.11
3.12
3.13
Remarks:
4. Mini CME REQUIREMENTS
Dimensions (m)
Item SCOPE DETAILS
Length Width
4.1 □ New □ Upgrade
4.2 □ New □ Upgrade
4.3 □ New □ Upgrade
4.4. □ New □ Upgrade
Remarks :
RESULT FROM TLP

STRENGTHENING □ Need X□ No Need □ Parallel Target : If need strengthening

MINI CME Target :

MANDATORY - To be filled by TLP

ADDITIONAL CHARGE
□ Yes □ No Quota : …............ Installed (Incl. new proposed) : …...................
Price per Month : IDR/USD …...............................................................................................................................

Remarks : If any additional charge, then TLP must request approval from Indosat before implementation or release permit

TLP TLP INDOSAT INDOSAT INDOSAT

RAN Access Network Development Sourcing Site Management

PRoject & Deployment

Requester
M.SUPRIYANTO
Date : Date : Date : 13/12/2020 Date : Date :
14-Dec-2020