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Form No.: 0219/ATP/BTEL-TX Plan/02/2009

Project :

PO Ref No. : Date :

Link :

WO Ref No. : Date :

On this day,(day) , (month) (date), (year), the undersigned on behalf of the following parties:

I. (BTEL Project Manager),PT.Bakrie Telecom, hereinafter referred as THE FIRST PARTY.

II. (Vendor represent Name), (Vendor title represent Name), (Vendor Company Name), hereinafter referred as THE SECOND PARTY.

Both parties agreed and state as follow:

1. Whereas in relation with the obligation of THE SECOND PARTY to supply and installation Transmission Link Systemincluding technical, schedule and material requirements thereof as referred to in the Purchase Order or Agreement.

2. The both parties tested and commissioned the mentioned above of supply and install the Transmission Link Systemas stated at attached documents as follows :

2.1 Commissioning Test Form,2.2 Site inventory data2.3 As-built deliverables2.4 Functional Test & Installation Quality Inspection Result

These certificates are made in two-fold, having similar contents and equal legal power for proper perusal.

THE SECOND PARTY THE FIRST PARTY (Vendor Company Name) PT. Bakrie Telecom, Tbk.

____________________Title Title

BTEL Radio Link ATP Certificate Form Version 1.4

( )

TRANSMISSION LINK

ACCEPTANCE TEST CERTIFICATENo._______________(Vendor Letter/Agreement system No.)

This document is part of Hand over system

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This Document is part of handover system Commisioning Test Document

Site InfoRegional ID

Site Name

Site Address

City

Province/State

Postal Code

Latitude (in degrees decimal format)

Longitude (in degrees decimal format)

Link InformationLink Name

Link Format (PDH/ SDH/ IP etc)

LOS distance (km)

Radio TypeVendor

Capacity (4E1/ 16E1/ 63E1/ STM-1)

Protection Type (1+0/ 2+0/ 1+1HSB)

Installed Date

Ready For Service Date

Link parameters WO / Standard Value Measured ValueOK / Not OK /

NARemark

Near End / Radio-1

Rx Level (- dBm) Rx Level(ET) + 4dB attach result in capture sheet

Tx Level (+ dBm) as state in ET/WO attach result in capture sheet

Interference Level (- dBm) < -90dBm attach result in capture sheet

Tx frequency, Channel No. (MHz)Rx frequency, Channel No. (MHz)

ODU frequency sub band

Center frequency (GHz) as state in ET/WO

BER test (8hr for PDH, 24hr for SDH) PDH

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SITE INVENTORY DATA

SITE INFOSite Name

Antenna - 1 Antenna - 2 Antenna - 1

Diameter (m)

Type

Part Number

Manufacturer

Gain (dB)

Freq (GHz)

Antenna height (m AGL)

Azimuth (o degres)

Polarization (V/H)

Type

Part Number

Manufacturer

Serial Number

Firmware Version

Type

Part Number

Manufacturer

Length (m)

Remark

Indoor Unit - 1

Module#1

Module#2

Module#3

(list all of modules installed)

Indoor Unit - 2

Module#1

Module#2

Module#3(list all of modules installed)

Indoor Unit - 1

Module#1

Module#2

Module#3

OUTDOOR UNIT Description

NEAR END (Site A) FAR ENANTENNA

Remark

INDOOR UNITFAR END (SITE B) Slot Position Board Type

FAR END (Site B)FEEDERS/CABLES NEAR END (Site A)

INDOOR UNITNEAR END (SITE A) Slot Position Board Type Part Number

Part Number

NEAR END (Site A) FAR EN

Site Satu Sit

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(list all of modules installed)

Indoor Unit - 2

Module#1

Module#2

Module#3

(list all of modules installed)

MUX Information NEAR END (Site A) FAR END (Site B)

Mux Type

Manufacturer

SDH (STM-1) Capacity

Trunk (E1) Capacity

Impedance (ohm)

MUX

Module#1

Module#2

Module#3

(list all of modules installed)

MUX

Module#1

Module#2

Module#3

(list all of modules installed)

THE SECOND PARTY

(Vendor Company Name)

____________________

Title

MUX ModulesFAR END (SITE B) Slot Position Board Type Part Number

MUX ModulesNEAR END (SITE A) Slot Position Board Type Part Number

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Antenna - 2

D (Site B)

Serial Number Firmware Version

Remark

D (Site B)

Dua

Remark

Serial Number Firmware Version

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THE FIRST PARTY

PT. Bakrie Telecom, Tbk.

( )

Title

Remark

Serial Number Firmware Version Remark

Serial Number Firmware Version

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Location-

Site Type

Location-

Site Type

Location-

Site Type Regional

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Country

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AS BUILT DELIVERABLESContent :a. Link Configuration

b. As Built Installation drawing & wiring (NEAR END and FAR END site)

b.1 Antenna & Tower Layout

b.2 Equipment room layoutb.3 Rack/Frame layout

b.4 Radio & Mux Installation (wiring & board)

b.5 DDF wiring and connection (see format below)

b.6 Image/photo documentation

c. IP Network Element (NE) Configuration

c.1 IP Address assignment (see format below)

c.2 NMS network & node configuration

b.5 DDF wiring and connection

Equipment Board TypeSlot

Number

Port

Number

DDF Index(Number of DDF Group)

Block(DDF Frame Number)

Column Row Port

c. IP Address assignmentNE Configuration Local side

Site Identifier(NE ID)

Local IP address

Subnet Mask IP

Address

Gateway IP Address

Remark

THE SECOND PARTY THE FIRST PARTY

(Vendor Company Name) PT. Bakrie Telecom, Tbk.

DDFEquipment (IDU or MUX)

ConnectionType

Remark

Remote Side

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____________________ ( )

Title Title