Today's Date 16-Mar-2023
Colocation Application Colo Application Date 10-Mar-2023
Project Name : Revision 3
Vendor Name : Nokia Have Charge NO
PROTELINDO SITE ID Island Province City
SUM-NSM-0076-O-P Sumatera Sumatera Utara Labuhanbatu Utara (Kab)
Latitude (Decimal/DMS) Longitude (Decimal/DMS) Site Type Tower Type Propose New Pole
2.261750 99.815570 GF SST YES 7 NO
Building Height Tower Height Vertical Space On Tower Tower Extension Required
0.00 62.00 (from: 55.5 m to 58.5m) YES 7 NO
CLIENT Client Site ID Client Site Name Client Contact Contact Phone #
INDOSAT 23185 Merbau Riky Endriansyah 08989333626
The information provided into this application is valid for 15 calendar days.
1. BTS ANTENNAS (RF) DETAILS CABLES
E - Exist
Dimension (m) Size ('')
Item Eqp Id N - New Height (m) Quant Manufacturer Model Azim(0) Qty
R - Remove (LxWxD) *
1.1 816987 R 57.0 1 AGISSON DX-1710-2200-65-19.5i-M 1.954x0.155x0.089 0.00
1.2 816988 R 57.0 1 AGISSON DX-1710-2200-65-19.5i-M 1.954x0.155x0.089 90.00
1.3 816989 R 57.0 1 AGISSON DX-1710-2200-65-19.5i-M 1.954x0.155x0.089 260.00
Remarks :
2. MW ANTENNAS (Transmission) DETAILS CABLES
E - Exist
Dimension (m) Size ('')
Item Eqp Id N - New Height (m) Quant Manufacturer Model Azim(0) Qty
R - Remove (LxWxD) *
2.1 892493 R 35.0 1 HUAWEI A15S09HAC 0.900 271.13 1 4/10
Remarks :
3. AMPLIFIERS (TMA/ODU/RRU) DETAILS CABLES
E - Exist
Dimension (m) Size ('')
Item Eqp Id N - New Height (m) Quant Manufacturer Model Azim(0) Qty
R - Remove (LxWxD) *
3.1 816990 R 57.0 1 HUAWEI RRU 3959 0.400x0.300x0.100 0.00
3.2 816991 R 57.0 1 HUAWEI RRU 3959 0.400x0.300x0.100 0.00
3.3 816992 R 57.0 1 HUAWEI RRU 3959 0.400x0.300x0.100 0.00
Remarks :
4. GROUND SPACE DETAILS
E - Exist
Item N - New Length Width Remarks
R - Remove
4.1 E 4.40 1.80 Pad
ADDITIONAL LEASED/SITAC REQUIRED : YES 7 NO DIMENSIONS Length: Width:
ADDITIONAL CME CAPEX REQUIRED : YES 7 NO DIMENSIONS Length: Width:
Remarks:
5. SHELTER/POWER REQUIREMENTS
TYPE OF EQUIPMENT REQUIRED : INDOOR (SHELTER) OUTDOOR (CABINET) OTHER Remarks : -
ELECTRICITY REQUIREMENTS : kVA : 6.60 n x A (phases): 3
PERMANENT GENSET REQUIRED : YES 7 NO DIMENSIONS Length : Width :
Remarks:
Prepared By Leasing Engineering Client
Sign by System
Mohamad Kurniawan
Date: 10-Mar-2023 Date: Date: Date:13-Mar-2023
* The requested Coax Cable size is greater than the specification allowed in the MLA. Lessee must install the cables using a feeder cable clamp to reduce the wind loading effect on the tower.Lessee
acknowledges certain sites require permanent genset (no PLN available) and will be responsible for providing its own permanent power.
Lessee hereby agrees to guarantee that the equipment installed or requested to be installed, at or on the tower is solely for the interest of Lessee. If Protelindo finds any evidence which indicates that
any equipment installed, or requested to be installed, at or on the tower will be used to broadcast spectrum and/or frequency which is not allocated by the Government to Lessee, Protelindo shall deem
that Lessee has installed additional equipment on the tower, and charge Lessee with a full colocation rate in addition to the applicable lease fee.
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