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Installation Form: Customer Information

The document is an installation form for a new installation of wireless and microwave services for a customer located at House # 143, Esmat Muslim Street, 3rd Lane, Shar-e-Naw, Kabul-Afghanistan. It details the customer and technical contact information, contract details such as dates and download/upload rates, and technical details of the installed devices. The form requires signatures from the telecom provider and customer.

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116 views3 pages

Installation Form: Customer Information

The document is an installation form for a new installation of wireless and microwave services for a customer located at House # 143, Esmat Muslim Street, 3rd Lane, Shar-e-Naw, Kabul-Afghanistan. It details the customer and technical contact information, contract details such as dates and download/upload rates, and technical details of the installed devices. The form requires signatures from the telecom provider and customer.

Uploaded by

Fire Fighter
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Installation Form

Services Type
New Installation  Microwave ☐
Reinstallation ☐ Wireless 
Customer Information
Customer Name Fahim Kohdamani House
Customer Address

GPS Coordinates Longitude: Latitude:


General Contact
Name Mobile E-Mail

Technical Contact
Name Mobile E-Mail

Contract Details
Start Date 11/May/2020 End Date 10/May/2021
Contract No Sales10-UAT0080 Activation
Installation Date 11/May/2020 11/May/2020
Date
Download Rate 1Mbps / 2Mbps
Package Enterprise Economy Ratio 1:1
Upload Rate 1Mbps / 2Mbps

Technical Details
Device Name S/N Adapter S/N
Cable Type Length Pole Length
LAN IP Address 192.168.10.2 Subnet Mask 255.255.255.192
Default Gateway 192.168.10.1
Extra LAN Public IP Subnet Mask
Default Gateway
Primary DNS 103.18.163.136 Secondary DNS 103.18.163.137
Technician Name

Remarks

UA Telecom Signature: ____________________________ Customer Signature: ________________________

House # 143, Esmat Muslim


0785 704 704
Street, 3rd Lane, Shar-e-Naw,
0785 706 706
Kabul-Afghanistan
[email protected]
www.uatelecom.af
[email protected]
Installation Form

Services Type
New Installation  Microwave 
Reinstallation ☐ Wireless ☐
Customer Information
Customer Name

Customer Address

GPS Coordinates Longitude: Latitude:

General Contact
Name Mobile E-Mail

Technical Contact
Name Mobile E-Mail

Contract Details
Start Date 1-7-2019 End Date 12-6-2020
Contract No Sales1-UAT0010
Installation Date 1-7-2019 Activation Date 1-7-2019
Download Rate 1.5 Mbps
Package Enterprise Platinum Ratio 1:1
Upload Rate 1.5 Mbps
Technical Details
Device Name S/N Antenna
ODU S/N IDU S/N AC/DC Converter
Cable Type Length Pole Length
LAN IP Address Subnet Mask
Default Gateway
Extra LAN Public IP Subnet Mask
Default Gateway
Primary DNS Secondary DNS
Technician Name
Remarks

UA Telecom Signature: ____________________________ Customer Signature: ________________________

House # 143, Esmat Muslim


0785 704 704
Street, 3rd Lane, Shar-e-Naw,
0785 706 706
Kabul-Afghanistan
[email protected]
www.uatelecom.af
[email protected]
Installation Form

House # 143, Esmat Muslim


0785 704 704
Street, 3rd Lane, Shar-e-Naw,
0785 706 706
Kabul-Afghanistan
[email protected]
www.uatelecom.af
[email protected]

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