FORM NO : FOMS-500

FORM TITLE : FOMS FBG INSTALLATION SHEET

PTT :

MSC

DATE

3/31/2015

FDC No

EXCH :
SPLITTER TYPE :

Splitter Output D-side Fiber ID

C999_006

1:32

SDG

F43 (M)

Last DP No.

Fiber Distance
between FDC to last
DP X (KM)

FTB

6.076

FBG Serial
No.

Core ID

C169

JKH CONTRACTOR
I hereby confirm that the above mentioned
FBG have been installed and tested
Name & signature

HSBB AND
I hereby confirm that the above mentioned FBG have been installed

..
FOMS project team
I hereby confirm that the above mentioned
FBG have been labelled in FOMS

Name & signature

Name & signature

FORM NO : FOMS-500
FORM TITLE : FOMS FBG INSTALLATION SHEET
PTT :

EXCH :

DATE

SPLITTER TYPE : 1:16

FDC No

Splitter Output D-side Fiber ID

1
2
3
4
5
6
7
8
9
10
11
12
13

FD01
FD02
FD03

Last DP No.

Fiber Distance
between FDC to last
DP X (KM)

FBG Serial
No.

DP1
DP17
DP24

0.824
0.61
0.959

L026939
L026940
L026941

JKH CONTRACTOR
I hereby confirm that the above mentioned
FBG have been installed and tested

HSBB AND
I hereby confirm that the above mentioned FBG have be

Name & signature

Name & signature

.
FOMS project team
I hereby confirm that the above mentioned
FBG have been labelled in FOMS

Name & signature

..

Core ID

C1
C25
C37

ve mentioned FBG have been installed