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Technical Site Survey Report

For
Site Sharing

Site ID Site Name Candidate City/Province Customer PO

1. Information of Candidates
1.1 Search Result
Site #
Site Name
Latitude Longitude Antenna Height
1
2
3
1.2. Comments (Per Candidate)
Site #
Comment
Accept/Reect
1
2
3
1.3. Rejected Sites List : (All list site identified by radio planning for which a SAR was not turned in)
Site # Site Address Reason o! Reection
1
2
2. General !istin" Site Sharin" information
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H+I Site ID/ Num,er-
)oCo/OpCo Site ID/ Num,er- .
Principa* O/ner-
Other Party - .
Site Sharing
0se-
&TS '(TS )'& &S* others ++++++++++
1PS Coordinates-
Nomina*- ,atitude! ,ongitude!
Candidate- ,atitude! ,ongitude!
Distance candidate to nomina*! 1##
Candidate Address-
Contact person- . Contact Num,er/s-
Area/Location-
School
copound
)ospital-
*linic
(ilitary
*opound
)otel Residential Road side .thers!
23isting )o/er
type-
3 ,egged tower
)eight!++/
(" 0 A-T )" 0 A-T
% ,egged tower
)eight !+32////
(" 0 A-T )" 0 A-T
(onopole
height ++/
.ther!
Physica*
appearance o! the
to/er-
1ood
2ot good
"escribe! 34isting SST +/
Space avai*a,i*ity
on the to/er
)eight available for 5nstallation of antennas! 4rac5ets re6uired ! yes no
26uipment
She*ter-
*ollocate with *6" shelter
possible! 7es 2o
5f no$ space for new outdoor unit
Available! 7es 2o
"istance fro proposed
e8uipent location to the tower
+
Ca,*e tray avai*a,*e !or usage-
7es 2o
.ther coents!
Proposed e6uipment - .utdoor unit *6" Shelter 5ndoor roo
23isting
Access
road-
7es
2o
"escribe the e4isting condition! Access to site
secure in all circustances
"iension!
,ength!+// 9idth!+//
Other important in!ormation / specia* re6uirement- 7Re.Strengthening8 Community8 I&48 etc9
Site on Goo"le arth
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2.1 #rea Information
Comment on Area (or existing site)
O,ective Coverage
Sector #
Sector $
Sector +
3. Radio $et%or& Plannin"
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Radio Re'uirement
In!ormation
Sectorised $1 Sectorised +1
Sec1 Sec2 Sec3 Sec1 Sec2 Sec3
Support/po*e no(
Num,er o! antennas
Antenna Si:e 7H 3 ; 3 D 9
Antenna ,eam /idth
7horisonta*9
Antenna 1ain 7d4i9
Antenna <re6uency
Antenna &anu!acturer /
mode*
Antenna Height
A:imuth
&echanica* )i*t
2*ectrica* )i*t
)ota* )i*ting
<eeder si:e/type 7i(e( =/>? #
@? etc9-
<eeder *ength/<eeder*ess
(. !istin" #ntenna (if a)aila*le)
Operator Ant )ype A:imuth 7deg9 Height 7m9 Leg
)S2L R< %"/#>"/+"" +" A/4/C
+. Site Surroundin" ,#P (,#PI$-.)
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/. 0rac&in" ,a1
2. 3ia"ram of .*stacles 3/4:
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0:

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Every circle represents 50 meters
Legend- A<&uilding 3<Airport
&<Tower-*hiney F<=ower-1as ,ine
*<=ublic &uilding-School 1<.ther
"<2atural .bstacle
)eight of the obstacle with respect to site level
2uber .bstacle Type "istance > degree () )eight ()
1
2
3
%
;
?
Note- Photo documentation shou*d inc*ude ,ut not *imited to the !o**o/ing-
a/ Actual proposed site status
b/ =anoraic =hotos/
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180:
90:
270:

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c/ Access inforation fro the nearest road going to the actual site/ 5nclude inforation on the narrowest access
d/ =ower source/ 5ncluding photo of the 3 =hase power source (i/e/ 3 phase =,2 pole) and nearest Transforer
e/ *able tray route and grounding route@ including power route going to source
f/ 5ncase there is need to deolish e4isting structure$ photo of which should also be presented
g/ Other necessary in!ormation shou*d have photo attachment(
Panoramic Photo
"A 30
%" A 90
#$"A 150
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#>" A 210
$'"A 270
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+""A 330
Antenna sec # p*acement inc*ude measurement
in!ormation 7meteran9
Antenna sec 2 placement include measurement
information (meteran)
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Antenna sec + p*acement inc*ude measurement
in!ormation 7meteran9
Bertica* )ray Horisontal Tra
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Site Condition 7<ront Bie/9 !ocation "T# (Proposed)
Access to Site# Access to #ite2
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Access to Site+ $oordinate %ie& 'P#
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O,ective Coverage Sec # ()*ecti%e $o%era+e #ec 1
O,ective Coverage Sec # ()*ecti%e $o%era+e #ec 1
O,ective Coverage Sec $ ()*ecti%e $o%era+e #ec 2
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O,ective Coverage Sec $ ()*ecti%e $o%era+e #ec 2
O,ective Coverage Sec + ()*ecti%e $o%era+e #ec 3
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O,ective Coverage Sec + ()*ecti%e $o%era+e #ec 3
)o/er and A** 23isting Antenna 7Leg A9 To&er and All ,-istin+ Antenna (!e+ ")
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)o/er and A** 23isting Antenna 7Leg C9 To&er and All ,-istin+ Antenna (!e+ .)
)op Do/n Bie/ A )op Do/n Bie/ 4
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)op Do/n Bie/ C )op Do/n Bie/ D
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5. C.6R#G PL.0
Co)era"e Plot 2G $ominal
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Co)era"e Plot 2G Candidate Preferred
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Co)era"e Plot 2G Candidate %ith Surroundin"

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Co)era"e Plot 3G $ominal
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Co)era"e Plot 3G Candidate Preferred
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Co)era"e Plot 3G Candidate %ith Surroundin"
RNP Survey Approva* RNP NSN Regiona* Approva* RNP H+I Regiona* Approva*

2ae-"ate ! 2ae-"ate ! 2ae-"ate !
7. Los Re1ort
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,inD! ,inD 2ae!
,oS Re8uested "ate! ,oS "ate!
,oS Re8uested by! =T/2S2 Report by!
SI)2 A SI)2 4
Site id Site id
,atitude ,atitude
,ongitude ,ongitude
3levation (A/s/l) + AS, 3levation (A/s/l) +/ AS,
Structure Type Structure Type
Structure )eight A/g/l +/ Structure )eight A/g/l +/
AEiuth site A toward site & AEiuth site & toward site A
&uilding height &uilding height
Address to site A Address to site &
,inD length ()! ++ 6
LoS Resu*t-
SI)2 A SI)2 4
(iniu ,oS height A a/g/l/ ()! +/A1, (iniu ,oS height & a/g/l/ ()! +/ A1,
Comments on Site A
Comments on Site 4
Comments on LoS A CD 4
LOS
Comments on LoS 4 CD A
LOS
=icture F 1/ 2oral ,oS Giew fro Site A to Site &! TaDe
a picture at +/

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Gisible

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=icture F 2/ Hooed ,oS Giew fro Site A to Site &!
TaDe a picture at +/













=icture F 1/ 2oral ,oS Giew fro Site & to Site A! TaDe
a picture at +/

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=icture F 2/ Hooed ,oS Giew fro Site & to Site A!
TaDe a picture at +/













14. Radio 0ransmission
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No
Near 2nd Site
Dia 7m9 Height 7ag*9
A:imuth
to <(2(
7Deg9
<ar 2nd Site Dia 7m9 Height 7ag*9
A:imuth to
N(2( 7Deg9
1
2
3
%
;
?
.ther inforation! Antenna Height is a*/ays ta5en !rom center o! antenna
!istin" 0ransmission
Operator Diameter 7m9 A:imuth 7deg9 Height 7m9 Leg
Path Pro!i*e
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Antenna /&1 placement include measurement
information (meteran)
Antenna /&2 placement include measurement
information (meteran)














)NP Survey Approva* )NP NSN Regiona* Approva*



2ae-"ate ! 2ae-"ate !
11. Ci)il ,echanical and lectrical
)ype o! Site 1reenfield Rooftop Tower type! Angular Tubular
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23isting to/er
type and height-
3 ,egged tower
)eight! ++
% ,egged tower
height !++//
(onopole
)eight
1uyed pole
height IIIII
.thers
IIIIIIIIIIIIIII
IIIIIIIIIIIIIII
IIIIIIII
)o/er *eg
measurement -
,4,4, ! +4+4+ 9 4 , ! +/4+/ "ia ! ++
Physica*
appearance o! the
to/er-
1ood
2ot good
"escribe!
Space avai*a,i*ity
!or outdoor e6uip
Space available onsite ( 9 4 ,) ! +// 4+//
Space available compare /ith standard design
7for 5ndosat-J,) ! yes no
Space avai*a,i*ity
!or indoor e6uip8
She*ter
Space available onsite ( 9 4 ,) ! +/+ 4 / /+
Space available compare /ith standard design
7for 5ndosat-J,) ! yes no
Horisonta* ca,*e tray and route
avai*a,*e to insta**-
7es 2o
Bertica* ca,*e tray and route
avai*a,*e to insta**-
7es 2o
.ther coents!
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
IIIIIIIIIIII IIIIIIIIIIIIIII
12. Po%er Su11l8
Connect to PLN-
5nstallation of aerial cable
allowed! 7es 2o
Additional poles re8uired to reach the 3 phase supply!
Kuantity +2-A++/ pcs
=ower cable re8uired to be
installed underground!
7es 2o
,ength of re8uired underground
installation! ++2-A+/
1round condition where cables will
pass!
*oncrete ++
Soil ++//
.thers!
specify +++++//+/ length ++//
"istance fro the nearest
transforer! 2-A
*apacity of the =,2 Transforer!
++//6GA
2uber/ of poles re8uired! +++pcs/
Any private property which will be affected by pole location and Right of way for the =,2 connection!
7es 2o (Please show in the rawing!)
Connect to
4ui*ding-
Type of supply available!
single phase
three phase
Spare breaDers available for use!
(capacity and 8ty)
++++++++++++++++//
,ength of power cable fro the source
to our proposed subFeter! +++//
,ength of cable fro sub eter to A*="& ++
2-A++++//
"eolition necessary! 7es 2o
Specify type and length ! +2-A++++++++++//
Supp*y permanent
1enerator-
34plain the need for peranent generator! +++++
2-A++++++++++++++++++++++++++++++++++++++++++++//
"istance of the proposed
location fro site! 2-A
Soundproof re8uired!
7es 2o
Available space
Rooftop
others ++++++++++++++++
Other important in!ormation / specia* re6uirement-
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
13. Groundin" S8stem
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1rounding System Avai*a,*e- 7es 2o
Reading of available grounding (34isting)! +++/ohs
Possi,i*ity to connect /ith e3isting grounding 7p*ease discuss /ith o/ner9- 7es 2o
2stimated *ength o! e3posed 7ye**o/ green9 grounding ca,*e re6uired- +/
Demo*ition re6uired !or the insta**ation o! the copper rods-
7es (specify type and 8ty) +++++++++++++++++++/ 2o
Other important in!ormation / specia* re6uirement-
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++
1(. 3ra%in"s and s&etches
a/ Access to site including the diensions and distance of the road which is not accessible by car!
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b/ *oplete proposed layout (tower-pole position-e8uipent-A*="&-cable route$e4isting =,2-transforer
pole etc/ with all diensions including set bacD fro property line on all sides)
c/ Reflect any overhead-underground utilities crossing the site (powerline$ telephone line$ pipes+etc/)
d/ Reflect e4isting facilities-obstructions-trees+/etc/
e/ Reflect any high tension *ables running outside the building which can affect delivery (appro4/ height)
f/ SDetch the proposed route for power connection@ specify the distances as stated in above data
g/ SI)2 CON)O0R / 2L2BA)ION (reflect appro4iate contour of site-elevation view@ provide the elevation
reading per 3)
Site Layout
)o/er Layout
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Proposed/23isting 26uipment 7!oundation9 Proposed/23isting hori:onta* tray
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Proposed/23isting Bertica* )ray 7ground to top9 Proposed/23isting Bertica* )ray 7top to ground9

Proposed/23isiting 1rounding System Propose/23sisting grounding ,o3
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Proposed/23isting Po*e PLN/ E/h &eter Propose/23isting PLN Po*e !rom propose area
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Surrounding Area# Surrounding Area$
Surrounding Area+ Surrounding Area'
1+. !istin" 'ui1ment
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*) for redeploy/swap
Existing Equipment
Type BTS
TYPE Note
B
Type IP
MW
BSC RNC METRO E
SDH
Bac!one
Ot"e#
$ote:
semua 1oint harus men8erta&an foto se*a"ai e)ident.
23isting 26uipment # ,-istin+ ,0uipment 2
23isting 26uipment + 23isting 26uipment F(( 7others9
1/. !isitin" Rectifier 9 :atter8
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*) for redeploy/swap
Exisitng Recti$e#
Rect
i
B#an%
Cu##ent
Capacity
mo%u&e
'()
*uantity
o+
Mo%u&e
'pcs)
,oa%
DC '()
Output
-o&tage
DC
'.o&t)
Type o+
Mo%u&e
Space
+o# ne/
Mo%u&e
Net/o# equipment
1
2
3
Exisitng Batte#y
Rect
i
B#an%
Num!e# o+
!an
Batte#y'Pcs)
Batte#y Capacity
'(0")
Space +o# ne/
Batte#y
Batte#y con%ition
'o1 %amage%1
&ea1 !u&ging)
1
2
3
$ote:
semua 1oint harus men8erta&an foto se*a"ai e)ident.
1ectifier confi+uration (1222323) !oad .$ (recti 1222323)
Output vo*tage 7recti #8$8+8F(9 "atter condition (12223234)
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12. !isitin" Po%er
*) for redeploy/swap
Po/e# P,N
P,N
Capacity

2/" (CPDB
P"ase3R (
'ac)
P"ase3S (
'ac)
P"ase3T (
'ac)
P"ase3R (
'ac)
P"ase3S (
'ac)
P"ase3T (
'ac)
$ote:
semua 1oint harus men8erta&an foto se*a"ai e)ident.
&C4 ACPD4 &CC4 E/h
Phase R A 7E/h9 Phase S A 7E/h9
Phase ) A 7E/h9 Phase R A 7ACPD49
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Phase S A 7ACPD49 Phase ) A 7ACPD49
15. !isitin" Genset ( ;;; &6#)
*) for redeploy/swap
1ensetG<ue* )an5 Capacity 1enset 7in namep*ate genset9
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-#R $3 SI0S
-ar nd 1
1. !istin" 'ui1ment (-arnd)
Existing Equipment
Type BTS
TYPE Note
B
Type IP
MW
BSC RNC METRO E
SDH
Bac!one
Ot"e#
$ote:
semua 1oint harus men8erta&an foto se*a"ai e)ident.
23isting 26uipment # ,-istin+ ,0uipment 2
23isting 26uipment + 23isting 26uipment F(( 7others9
2. !isitin" Rectifier 9 :atter8
Revision nuber! "# %# "ocuent title! Site Sharing TSSR
"ate of issue! Sept 3#$ 2#1% of "ocuent nuber! $"%$
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%% Release status! Re*eased

Technical Site Survey Report
For
Site Sharing

Exisitng Recti$e#
Rect
i
B#an%
Cu##ent
Capacity
mo%u&e
'()
*uantity
o+
Mo%u&e
'pcs)
,oa%
DC '()
Output
-o&tage
DC
'.o&t)
Type o+
Mo%u&e
Space
+o# ne/
Mo%u&e
Net/o# equipment
1
2
3
Exisitng Batte#y
Rect
i
B#an%
Num!e# o+
!an
Batte#y'Pcs)
Batte#y Capacity
'(0")
Space +o# ne/
Batte#y
Batte#y con%ition
'o1 %amage%1
&ea1 !u&ging)
1
2
3
$ote:
semua 1oint harus men8erta&an foto se*a"ai e)ident.
1ectifier confi+uration (1222323) !oad .$ (recti 1222323)
Output vo*tage 7recti #8$8+8F9 "atter condition (1222323)
3. !isitin" Po%er
Revision nuber! "# %1 "ocuent title! Site Sharing TSSR
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References! &'( )SS Approved
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Technical Site Survey Report
For
Site Sharing

Po/e# P,N
P,N
Capacity

2/" (CPDB
P"ase3R (
'ac)
P"ase3S (
'ac)
P"ase3T (
'ac)
P"ase3R (
'ac)
P"ase3S (
'ac)
P"ase3T (
'ac)
$ote:
semua 1oint harus men8erta&an foto se*a"ai e)ident.
&C4 ACPD4 &CC4 E/h
Phase R A 7E/h9 Phase S A 7E/h9
Phase ) A 7E/h9 Phase R A 7ACPD49
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Technical Site Survey Report
For
Site Sharing

Phase S A 7ACPD49 Phase ) A 7ACPD49
(. !isitin" Genset ( ;;; &6#)
Revision nuber! "# %3 "ocuent title! Site Sharing TSSR
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Technical Site Survey Report
For
Site Sharing

1ensetG<ue* )an5 Capacity 1enset 7in namep*ate genset9
Surveyor Approva* NSN Regiona* Approva*



2ae-"ate ! 2ae-"ate !
Revision nuber! "# %% "ocuent title! Site Sharing TSSR
"ate of issue! Sept 3#$ 2#1% of "ocuent nuber! $"%$
References! &'( )SS Approved
%% Release status! Re*eased

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