SERVICE REQUEST FO

REQUESTED BY :
Employee No*
Name Mora sianipar
Position Account Executive
Department HRB Enterprise

CUSTOMER CLASSIFICATION
Customer Classification
VVIP Platinum
By Revenue
Customer Status* New Customer Existing Customer
Type of Customer* Personal Corporate
Number of Node Single Node Multi Node

CORPORATE CUSTOMER INFORMATION :

Name of Company* PT Sentra Perkasa Mandiri / ENJAZ SAFINA
Organization Level* Head Office Branch Office
Building Name : Gedung Wisma Barkrie
Address* : jl Rasuna sahid kav b2 s
Full Address Jakarta Selatan
Sub District* : District* :
City * : DKI Jakarta State* :
Name* : Esty Nurchadisah
Commercial Contact Perso
Email* : Esty.nur.c@gmail.com

Name* : Esty Nurchadisah / Dede

Technical Contact Person
Email* : Esty.nur.c@gmail.com

PERSONAL CUSTOMER INFORMATION :

Name* : Esty

Contact Person Birthday* :

Gender* : Perempuan Nationality* :

Address* :

Full Address
Full Address
Sub District* : District* :
City* : State*:

SERVICE REQUEST :
Type of Order New Upgrade

Type of Service Purpose Permanent Temporary*

Service Status Main Service Backup Service

Internet Burstable
Type of Service
(*Fill the Detail of Service in the Internet Dedicated
"Service Checklist" below)
Internet Exchange
Service Owner Moratelindo Partner

Protocol Technology SDH EoSDH

Connection Methode VLAN VPN

Media Delivery Radio VSAT

Interface Connection UTP Optical

On Service Request RFS Date : 10 Desember 2018

INSTALLATION INFORMATION :
Interconnection Point : Gedung Wisma Barkrie 1, Lt B 1, jl Rasuna sahid ka
Installation Site : Near End
Site ID :
Address :
Address :
Sub District : District :
City : JAKARTA State :
Longitude : (Deg/Min/S
Coordinate :
Latitude : (Deg/Min/S

Installation By : MTI ………

DETAIL OF SERVICE (SUB-SERVICE CHECKLIST) :

Internet Burstable
Checklist SO Name Capacity UoM
Oxygen HOME (FTTH) Mbps
 Oxygen HOME (FTTB) Mbps

Oxygen SOHO (FTTX) Mbps

Oxygen SOHO (FTTB) 25 Mbps

Oxygen CORPORATE (FTTX) Mbps

Oxygen CORPORATE (FTTB) Mbps

Internasional Link
Checklist SO Name Capacity/ Quantity UoM
SuperNAP (IPLC) Mbps
Leased Core / Dark Fiber
Core
Internasional
IRU Internasional Core

Interconnection (International) Port

Data Center
Checklist SO Name Capacity UoM
Collocation Rack Unit
Rack Space Rent m2
Shaft Tray Rent Cable
MMR Cross-Connect Port

BTS Rent
Checklist SO Name Quantity UoM
BTS Hotel Rent Node

BTS 4G Rent Node

Additional Product
Checklist SO Name Quantity UoM

SMTP Relay Domain

DNS Domain

IP Public v4 IP
 IP Public v6 IP

AS Number ASN
Domain Domain

BGP ASN

MRTG Traffic

Mail Security and Anti Spam Domain

Application Training Session

DDoS Protection Mbps

Grounding Set

NOTES :

PT SENTRA PERKASA MANDIRI/ENJAZ SAFINA, perubahan layanan yaitu , hanya ,m

nya di putus (IP TV dismantle)
 Input Date
SRF Number

UEST FORM PO Reff. Number

BP Reff. Number
Customer ID

Mobile Phone 0812 9435 0632

Email mora.sianipar@moratelindo.co.id

Gold Silver Bronze

Customer ………… Scale of < 5 person

………… Customer User* 6 - 20 person
*(.........) Node Coverage Status* in Coverage

SAFINA NPWP 03.224.203.4-008.000

………… SIUP
ma Barkrie 1, Lt B 1 Gov,Mining, Oil & Gas
hid kav b2 setiabudi Customer Wholesaler
Line of
Banking & Financing
Business*
Property
Zip Code* : Company Phone* : (021) 7973377 Fax :
Job Function - Department* : Office Manager

Company Phone* : 0212513409 Ext* :

Job Function - Department* :

Company Phone* : Ext* :

Personnal ID ( KTP/Kitas/Passport )* :

( dd/mm/yyyy ) NPWP* :
Indonesia Phone : '085211100426 Mobile* :
Employee
Profession* :
Entrepreneur
Apartment
Type of Building* :
 Type of Building* :
Home
Zip Code* : Number of Floor* : lt B1

Downgrade Relocation Dismantle

*Choose: BoD PoC/Trial Event

ervice

International Link Cloud Service

Domestic Link BTS Rent
Data Center Additional Product

Ethernet IP Core

PPPoE Trunk MPLS

FO* *Choose: GPON Non-GPON

E1 ...........

(dd/mm/yyyy) End of Temporary Service : 10 Desember 201

na sahid kav b2 setiabudi, Jakarta Selatan

Far End (Customer Premise)
Building Name : Gedung Wisma Barkrie 1, Lt B 1
Address* : jl Rasuna sahid kav b2 setiabudi, Jakarta Selatan

Sub District* : District* :

Zip Code : City * : DKI Jakarta State* :
(Deg/Min/Sec) Longitude : (Deg/Min/Sec)
(Deg/Min/Sec) Latitude : (Deg/Min/Sec)
MTI ..........

Internet Dedicated
Checklist SO Name Capacity UoM
SuperNET Mbps
 SuperNET MIX Mbps
Super IIX Mbps
Oxygen Dedicated (FTTX) Mbps

Oxygen Dedicated (FTTB) Mbps

Internet Exchange
Checklist SO Name Capacity UoM
Mora IXP Mbps

MREN IXP Mbps

Domestic Link
Checklist SO Name Capacity / Quantity UoM
Local Loop Mbps

Metro - M (MPLS) Mbps

Leased Core Inner City Core

Leased Core Inter City Core

Interconnection (Domestic) Port

Mobile VPN Unit

Oxygen Metro Mbps

Cloud Services
Checklist SO Name Capacity UoM
VPS GB
Email Hosting GB
Mora Hosting GB
Cloud Storage GB
Cloud Application

Additional Product
Checklist SO Name Quantity UoM

WiFi (Project Based) Node

WiFi Oxygen.id
Node
(Free WiFi)

VSAT SCPC
 ` VSAT MCPC

Radio Microwave
IPTV / OTT TV STB

Video Surveillance
Unit
(IP/CCTV)

Video Conference Account

Access Manager Set

One Time Managed Service Lumpsum

Monthly Managed Service Month

Telephony Service

Jakarta, 05 / Desember / 2
Signature :

, hanya ,menggunakan internet saja, dan ip TV

Name : Mora Sianipar

Job Function : Account Executive
 Automatic (DD/MM/YYYY)

Automatic (xxxx/SRF/MM/YYYY)

124716

BP Reff. Number
Automatic (xxxxxxxxxx)

mora.sianipar@moratelindo.co.id

21 - 100 person
> 100 person
out of Coverage

224.203.4-008.000

Telecommunication
Education
Media & Hospitality
………….
Web :
-

Hp* : '085211100426

Hp* : '085793730353

Student
………….
Home Office
 ………….

Pemutusan IP TV

…….

.........

.........

DWDM

(dd/mm/yyyy)

ar End (Customer Premise)

Floor* : B1
hid kav b2 setiabudi, Jakarta Selatan

Zip Code* :
(Deg/Min/Sec)
(Deg/Min/Sec)

Remark
 plus IP TV

Jakarta, 05 / Desember / 2018

ature :

me : Mora Sianipar
Function : Account Executive
 CUSTOMER CLASSIFIC
Description VVIP
Telco
Revenue/year Wholesale ∞
Enterprise
Customer GLB Group, SMG Group

Problem Notification As request

Escalation Level up to 5th level

Single point of contact CAR Support
Mean time to Respond 15 minutes
Mean time to Update Hourly
Reporting Monthly
Meeting By request & quarterly
SLA 99.50%
 CUSTOMER CLASSIFICATION
Platinum Gold Silver
≥ 2 Billion > 1 Billion or < 2 Billion > 500 Million or < 1 Billion
≥ 1 Billion > 500 Million or < 1 Billion > 300 M or < 500 M
≥ 500 Milion > 300 M or < 500 M > 100 M or < 500 M

CEM release problem notification for

main link/back up link if alarm detect

up to 5th level up to 5th level up to 4th level

CAR Support CAR Support Hotline Service
15 minutes 15 minutes 15 minutes
Hourly Hourly Hourly
Monthly Monthly Monthly
quarterly By request By request
99.50% 99.50% 99.50%
 Bronze
< 500 Million
< 300 Million
< 100 Million

Hotline Service & 2nd level

Hotline Service
15 minutes
Hourly
By request
By request
99.50%
 IP-ADDRESS
PRODUCT / SERVICE Public Private
BGP/ASN
Static Dynamic Static Dynamic
Internet Burstable
Oxygen HOME (FTTH) v
Oxygen HOME (FTTB) v
Oxygen SOHO (FTTX) o v
Oxygen SOHO (FTTB) o v
Oxygen CORPORATE (FTTX) o v
Oxygen CORPORATE (FTTB) o v
Internet Dedicated
SuperNET v v
SuperNET MIX v v
Super IIX v v
Oxygen Dedicated (FTTX) v o
Oxygen Dedicated (FTTB) v o
Internasional Link
SuperNAP (IPLC)

Leased Core / Dark Fiber Internasional

IRU Internasional
Interconnection (International)
Domestic Link
Local Loop
Metro - M (MPLS)
Leased Core Inner City
Leased Core Inter City
Interconnection (Domestic)
Mobile VPN v
Oxygen Metro v
Internet Exchange
Mora IXP v v
MREN IXP v v
Cloud Services
VPS v (Shared)
Email Hosting v (Shared)
Mora Hosting v (Shared)
Cloud Storage v (Shared)
Cloud Application v (Shared)
Data Center
Collocation v o
Rack Space Rent
Shaft Tray Rent
MMR Cross-Connect
BTS Hotel - Tower
BTS Hotel Rent
BTS 4G Rent
Additional Product
SMTP Relay
DNS
IP Public v4
IP Public v6
AS Number
Domain
BGP
MRTG
Mail Security and Anti Spam
DDoS Protection
Application Training
Grounding
WiFi (Project Based)
WiFi Oxygen.id
(Free WiFi)
VSAT SCPC
VSAT MCPC
Radio Microwave
IPTV / OTT TV
Video Surveillance (IP/CCTV)
Video Conference
Access Manager (Voucher Generator)

One Time LAN Managed Service

Monthly LAN Managed Service
Telephony Service
 CPE CIR BANDWIDTH

ONT Router STB SFP AP Lokal (IIX) International Mora-IXP

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NDWIDTH MEDIA CONNECTION-M
FO
MREN Link Only RADIO VSAT ETH/UTP VLAN
GPON NON-GPON DWDM

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CONNECTION-METHODE Protocol Technology

VPN TRUNK PPPoE MPLS SDH EoSDH Ethernet IP Core

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 CUSTOMER INSTALLATION TROUBLESHOOT

FOC CTS IT 3rd PARTY FOC CTS IT 3rd PARTY