WORK ORDER FORM

Technical Operation Department

Customer Technical Support Maintenance
PT. Eka Mas Republik
Graha FIM, Jl. Teuku Cik Ditiro No. 37
Menteng, Jakarta Pusat 10310

Work Order Information Customer Information

No. WO 5096944 Customer ID C1519971

BAST Number Name Natasha Sapulette
WO Date 17 September 2024 SA Date 12 April 2021
Appt. Date 20 September 2024 Service Status Active
Service Aging PIC Natasha Sapulette
1257
Maintenance
Address DKI JAKARTA JAKARTA BARAT (11830)
Appt. Type Maintenance CITRA GARDEN 2 JLN. PEMBINAAN
UTARA BLOK D2 Number 7 RW 19 /
General Retail [RFS]
Project Name RT Kode Pos : 11830
[JKT.100.1401/CG2.050/A04]
Class Type Customer Regular
Installation Type AERIAL
ONT (4 Port) V2 - Combo TV (Fast50) -
Ticket Number 8849293
Fast50 Combo (2023.B) - Upgrade to
Package/Plan
Ticket Date 17 September 2024 75 Mbps (12 Bulan) - Special
COMPLAIN - All Service Down (Loss Customer -
Initiate Ticket Category
Merah) Billing Cycle Date 12
Value Account state 0.00
Mobile 08111472323
Phone
Email natasha.fidelish@gmail.com

Device Information
No Item ID Descriptions Serial Number Mac Address
1 ONTHW.001 HUAWEI OPTICAL NETWORK TERMINAL (ONT) 4857544394CD129A 84a9.c445.f59f
2 STB Android Box 1 2007L2F709268 542AA25C8804
3

Main Material Information

Device
No Item ID Descriptions Serial Number Mac Address Remark Status
Model
1 ONTHW.001 HUAWEI OPTICAL NETWORK TERMINAL (ONT) ONT
2 STB Android Box 1 STB #1
3

Accessories Material Information

Material Material
No. Material Name Unit QTY No. Material Name Unit QTY
Code Code
1 200000083 Cable A/V 3m pcs 10 200000242 Terminal Box + adapter SC-APC pcs
2 11 Cable pathcord single mode 20 m (SC-
200000101 Cable duct/protector TC2 pcs 200000243 pcs
APC to SC-APC)
3 12 Cable pathcord single mode 50 m (SC-
200000102 Pipa PVC/Conduit 20 mm pcs 200000244 pcs
APC to SC-APC)
4 200000105 Clamp pipa conduit 20 mm pcs 13 200000245 Flexible 20mm (1m) meter
5 200000111 Sock pipa conduit 20 mm pcs 14 200000247 Adapter SC-APC to SC-APC pcs
6 200000117 Cable drop FO G657 dual core ( non mess ) meter 15 200000516 Splice-on Connector APC pcs
7 Cable drop FO G657 dual core With 16
200000118 meter 200000517 Splice-on Connector UPC pcs
Messenger
8 200000142 Pig Tail SC APC (2m) pcs 17 300000209 Fast Connector SC/APC pcs
9 Cable pathcord single mode 30 m (SC-APC 18
200000240 pcs 300000210 Fast Connector SC/UPC pcs
to SC-APC)

Remark to Contractor
Category Problem/Root Cause Analysis
All Service Down (Loss Merah)

Comments by Contractor
Appointment delayed on 2024-09-17

Technician Information Solution & Finishing

Area Jakarta Installer Arrival Time
Contractor Citra Telinti Mulia PT (B) Work Completed TIme
Installer Name Rangga Saputra Appt. Status/Work Order Successful
Installer Contact No. 088296441283 St Unsuccessful
Slot Time 3pm to 5pm

Dengan menandatangani lembar kerja ini saya menyetujui semua hasil kerja dan perbaikan yang sudah dilakukan dengan hasil baik
Jakarta, ...................................................

Cust. Technical Support Signature Customer Signature & Name