Document Number : Issued :

TRM 2ND CARRIER U900 PROJECT

Document Controll No. : Optional, fill in by user for controlling purposes

ASSET TRANSFER FORM (ATF)

√ Activity Type: Site to WH Reason for Handover : Swap & Modernization JAGUAR Project ATF No PR-REC-1116-04037
Date 21 January 2017
√ Asset Condition: Recovered (Ex-Dismantle) PO Number :

√ Dismantle Plan Date: 21-Jan-17 Dismantle Actual Date : 21-Jan-17

Origin Destination
Division RAN & Transport Access Program MGT Division
Region WEST JAVA Region
City BANDUNG City
Site ID / WH ID 03SRN019 New Site ID WH DSC Cikarang Bekasi
Site Name / WH Name GR_GIRANG Link 1 New Site Name WH DSC Cikarang Bekasi
NE Equip System Microwave Vendor Installation
Material Brand
Alcatel lucent PO Re-Deploy (Service)
(Original Vendor)
Vendor Dismantle Alcatel lucent

NE Equipment Physical Condition

Equipment Type Manufacture Serial No NE / Hardware (Level 1) Equipment Type (level 2) Modular Type/Material type (level 3) Product Code (level 4) Quantity UoM Remark
System (Freq) (Damage, Good, Brand New)

ODU SH1249X00DV TRM MICROWAVE SYSTEM - MPR 11 GHz MPT-HC V2 11GHz 530/490 2/2P 3DB20546BBXX 1 pcs SN tidak terbaca GOOD
ODU SH1302X008R TRM MICROWAVE SYSTEM - MPR 11 GHz MPT-HC V2 11GHz 530/490 2/2P 3DB20546BBXX 1 pcs SN tidak terbaca GOOD
COUPLER GA121913163 TRM MICROWAVE SYSTEM - MPR 11 GHz 11 GHZ 10DB COUPLER 3CC14140ABXX 1 pcs SN tidak terbaca GOOD
MPT ACCESS TH1245Q024G TRM MICROWAVE SYSTEM - MPR 11 GHz MPT access plug in 3DB18634ABXX 1 pcs SN tidak terbaca GOOD
MPT ACCESS TH1245Q01NJ TRM MICROWAVE SYSTEM - MPR 11 GHz MPT access plug in 3DB18634ABXX 1 pcs SN tidak terbaca GOOD
CABLE NA TRM MICROWAVE SYSTEM - MPR 11 GHz COAXIAL CABLE 9500MPR_ETHERNET CABLES 1100000065 40 M SN tidak terbaca GOOD

recovered (site WH)

Origin Origin Destination Origin Destination

Date: Date: Date: Date: Date:
Prepared by: Approved by: Received by: Approved by: Approved by:
(PM Requester) (PM Requester) (Destination PIC) (PM Requester)

(Vendor) (Project) (Warehouse ISAT/Vendor) (ISAT Regional) (ISAT AMG)

Name: Name: Name: Name: Name:
Vendor Name : Company: INDOSAT Company: Company : INDOSAT Company: INDOSAT
* applicable for all acitivities * applicable for all acitivities * applicable for Backbone Dept only * applicable for Activity Type "Site to WH Vendor" only
* applicable for all acitivities
 Document Number : Issued :
MW JAGUAR Project
Document Controll No. : Optional, fill in by user for controlling purposes

ASSET TRANSFER FORM (ATF)

√ Activity Type: Site to Warehouse Reason for dismantling : Swap & Modernization JAGUAR Project ATF No ATF number will be provided by INDOSAT
Date date
√ Asset Condition: Recovered (ex-dismantle) PO Number :

√ Dismantle Plan Date: Date Dismantle Actual Date : Date

Origin Destination
Division Project Management 2 (requester Division) Division
Region Jakarta Selatan (refer to technology ops) Region
City Jakarta City
Site ID / WH ID 01JKS081 New Site ID [Site or Warehouse ID]
Site Name / WH Name ADHI GRAHA New Site Name Warehouse Indosat Cibinong/Semarang/Surabaya
NE Equip System Microwave Vendor Installation
Material Brand
Nokia PO Re-Deploy (Service)
(Original Vendor)
Vendor Dismantle Huawei

NE Equipment Physical Condition

Barcode No Manufacture Serial No NE / Hardware (Level 1) Equipment Type (level 2) Modular Type/Material type (level 3) Product Code (level 4) Quantity UoM Remark
System (Freq) (Damage, Good, Brand New)

(fill in if the data is available) (fill in if the data is available) Microwave ODU Accessories 13G ODU Mounting for Antenna separated 1+0 from 0.6m MF13-SP.01 1 pcs
(fill in if the data is available) (fill in if the data is available) Microwave MW Antenna 7G Antenna 0.6 m Dual Pol. T555DA07.06 1 pcs
(fill in if the data is available) (fill in if the data is available) Microwave ODU Accessories 7G ODU Mounting for Antenna separated 1+0 from 3.0m MF7-SP.03 1 pcs
(fill in if the data is available) (fill in if the data is available) Microwave IDU Module Additional FPH-800 16E1 Card E1-800.16 1 pcs
(fill in if the data is available) (fill in if the data is available) Microwave IDU Module Additional FPH-800 4xGbE Card GBE-800.01 1 pcs
(fill in if the data is available) (fill in if the data is available) Microwave IDU Module Flexihoper 8 E1 FH-A.02 1 pcs
(fill in if the data is available) (fill in if the data is available) Microwave ODU Module FlexiPacket Radio 13GHz FPR-ODU.13 1 pcs
(fill in if the data is available) (fill in if the data is available) Microwave ODU Module FlexiPacket Radio 15GHz FPR-ODU.15 1 pcs
(fill in if the data is available) (fill in if the data is available) Microwave Peripherals FM200/FPH800 Accessories ACC-2/800.01 1 pcs
(fill in if the data is available) (fill in if the data is available) Microwave Indoor to Outdoor Cable Indoor - Outdoor Power 1+0 Accessories FPR-CON.02 1 pcs

recovered (site WH)

Origin Origin Destination

Date: Date: Date:
Prepared by: Approved by: Received by:
(PM Requester) (PM Requester) (Destination PIC)

(Vendor) (Project) (PIC Destination)

Name: Name: Name:
Company: Company: Company:
 Document Number : Issued :
PS JAGUAR Project
Document Controll No. : Optional, fill in by user for controlling purposes

ASSET TRANSFER FORM (ATF)

√ Activity Type: Site to Warehouse Reason for dismantling : Swap & Modernization JAGUAR Project ATF No ATF number will be provided by INDOSAT
Date date
√ Asset Condition: Recovered (ex-dismantle) PO Number :

√ Dismantle Plan Date: Date Dismantle Actual Date : Date

Origin Destination
Division Project Management 2 (requester Division) Division
Region Jakarta Selatan (refer to technology ops) Region
City Jakarta City
Site ID / WH ID 01JKS081 New Site ID [Site or Warehouse ID]
Site Name / WH Name ADHI GRAHA New Site Name Warehouse Indosat Cibinong/Semarang/Surabaya
NE Equip System Power System Vendor Installation
Material Brand
Eltek (Westindo) PO Re-Deploy (Service)
(Original Vendor)
Vendor Dismantle Huawei

NE Equipment Physical Condition

Barcode No Manufacture Serial No NE / Hardware (Level 1) Equipment Type (level 2) Modular Type/Material type (level 3) Product Code (level 4) Quantity UoM Remark
System (Damage, Good, Brand New)

(fill in if the data is available) (fill in if the data is available) PS Equipment Cabinet Eltek Master Cabinet System with Plinth (Outdoor) 1 pcs
(fill in if the data is available) (fill in if the data is available) PS Equipment Rectifier Module Eltek Rectifier Modul FP2 2000 1 pcs
(fill in if the data is available) (fill in if the data is available) PS Equipment Rectifier Module Eltek Rectifier Modul FP2 2000 1 pcs
(fill in if the data is available) (fill in if the data is available) PS Equipment Rectifier Module Eltek Rectifier Modul FP2 2000 1 pcs
(fill in if the data is available) (fill in if the data is available) PS Equipment Rectifier Controller Eltek Rectifier Controller Flatpack 2 2000 1 pcs
(fill in if the data is available) (fill in if the data is available) PS Equipment Battery Fiamm Battery Back Up - Fiamm SMG 100 AH 1 pcs
(fill in if the data is available) (fill in if the data is available) PS Equipment Battery Fiamm Battery Back Up - Fiamm SMG 100 AH 1 pcs
(fill in if the data is available) (fill in if the data is available) PS Equipment Battery Fiamm Battery Back Up - Fiamm SMG 100 AH 1 pcs
(fill in if the data is available) (fill in if the data is available) PS Equipment Battery Fiamm Battery Back Up - Fiamm SMG 100 AH 1 pcs
(fill in if the data is available) (fill in if the data is available) PS Equipment Battery Fiamm Battery Back Up - Fiamm SMG 100 AH 1 pcs
(fill in if the data is available) (fill in if the data is available) PS Equipment Battery Fiamm Battery Back Up - Fiamm SMG 100 AH 1 pcs
(fill in if the data is available) (fill in if the data is available) PS Equipment Battery Fiamm Battery Back Up - Fiamm SMG 100 AH 1 pcs
(fill in if the data is available) (fill in if the data is available) PS Equipment Battery Fiamm Battery Back Up - Fiamm SMG 100 AH 1 pcs
(fill in if the data is available) (fill in if the data is available) PS Equipment Battery Fiamm Battery Back Up - Fiamm SMG 100 AH 1 pcs
(fill in if the data is available) (fill in if the data is available) PS Equipment Battery Fiamm Battery Back Up - Fiamm SMG 100 AH 1 pcs
(fill in if the data is available) (fill in if the data is available) PS Equipment Battery Fiamm Battery Back Up - Fiamm SMG 100 AH 1 pcs
(fill in if the data is available) (fill in if the data is available) PS Equipment Accessories Eltek AC Power Cable, NYFGBY 4x10 mm2 (Outdoor) 10 m
(fill in if the data is available) (fill in if the data is available) PS Equipment Accessories Eltek Stainless Steel Conduit 1" for AC Power Cable 10 m

recovered (site WH)

Origin Origin Destination

Date: Date: Date:
Prepared by: Approved by: Received by:
(PM Requester) (PM Requester) (Destination PIC)

(Vendor) (Project) (PIC Destination)

Name: Name: Name:
Company: Company: Company:
Dismantling Photos
1 RAN Equipment Photos

Existing BTS with Front View Existing BTS with Front View

Module detail with Barcode Module detail with Barcode

Module detail with Barcode Module detail with Barcode

Module detail with Barcode Module detail with Barcode

Antenna photo with barcode Antenna photo with barcode

TMA and Filters TMA and Filters

 Feeder and accessories Feeder and accessories

Existing Sunshade (Outdoor) Exisiting Foundation Outdoor

2 Radio Transmission photos

Existing MW trans with Front View Existing MW trans with Front View

NOT FOR DISMANTLE NOT FOR DISMANTLE

IDU part with barcode IDU part with barcode

ODU part with barcode ODU part with barcode

 NOT FOR DISMANTLE

ODU part with barcode (COUPLER) ODU part with barcode (ANTENNA)

Cable Coax and accesorie Cable Coax and accesorie

Cable Coax and accesorie Cable Coax and accesorie

3. Power Rectifier and Batteries Photos

N/A

Existing PS with Front View Existing PS with Front View

Module Rectifier with barcode Module Rectifier with barcode

Module Rectifier with barcode Module Rectifier with barcode

Module Rectifier with barcode Module Rectifier with barcode

Battery Block with barcode Battery Block with barcode

Battery Block with barcode Battery Block with barcode

Battery Block with barcode Battery Block with barcode

Battery Block with barcode Battery Block with barcode

Cable and accessories Cable and accessories