WORK ORDER FORM

Technical Operation Department

Customer Technical Support Maintenance
PT. Eka Mas Republik
Graha FIM, Jl. Teuku Cik Ditiro No. 37
Menteng, Jakarta Pusat 10310

Work Order Information Customer Information

No. WO 5111195 Customer ID C1619804

BAST Number Name Livia Meirine
WO Date 20 September 2024 SA Date 03 April 2022
Appt. Date 21 September 2024 Service Status Active
Service Aging PIC Livia Meirine
902
Maintenance
Address DKI JAKARTA JAKARTA BARAT (11820)
Appt. Type Maintenance PERUMAHAN KAVLING PTB - FDT 1
JLN. PERSADA GANG APEL BLOK A1
General Retail [RFS]
Project Name Number 9 Kode Pos : 11820
[JKT.100.1401/KPTB.060/A01]
Class Type Customer Regular
Installation Type AERIAL
ONT (4 Port) V2 - Value30 Combo
Ticket Number 8879216
New - Combo TV (Value30) New -
Package/Plan
Ticket Date 20 September 2024 Upgrade to 50 Mbps (12 Bulan) -
COMPLAIN - All Service Down (Loss Special Customer -
Initiate Ticket Category
Merah) Billing Cycle Date 3
Value Account state 0.00
Mobile 089612550299
Phone
Email [email protected]

Device Information
No Item ID Descriptions Serial Number Mac Address
1 ONTHW.001 HUAWEI OPTICAL NETWORK TERMINAL (ONT) 48575443331F507A 80d4.a595.5c8f
2 STB Entertainment TV Box 1 542AA279E095
3

Main Material Information

Device
No Item ID Descriptions Serial Number Mac Address Remark Status
Model
1 ONTHW.001 HUAWEI OPTICAL NETWORK TERMINAL (ONT) ONT
2 STB Entertainment TV Box 1 STB #1
3

Accessories Material Information

Material Material
No. Material Name Unit QTY No. Material Name Unit QTY
Code Code
1 200000083 Cable A/V 3m pcs 10 200000242 Terminal Box + adapter SC-APC pcs
2 11 Cable pathcord single mode 20 m (SC-
200000101 Cable duct/protector TC2 pcs 200000243 pcs
APC to SC-APC)
3 12 Cable pathcord single mode 50 m (SC-
200000102 Pipa PVC/Conduit 20 mm pcs 200000244 pcs
APC to SC-APC)
4 200000105 Clamp pipa conduit 20 mm pcs 13 200000245 Flexible 20mm (1m) meter
5 200000111 Sock pipa conduit 20 mm pcs 14 200000247 Adapter SC-APC to SC-APC pcs
6 200000117 Cable drop FO G657 dual core ( non mess ) meter 15 200000516 Splice-on Connector APC pcs
7 Cable drop FO G657 dual core With 16
200000118 meter 200000517 Splice-on Connector UPC pcs
Messenger
8 200000142 Pig Tail SC APC (2m) pcs 17 300000209 Fast Connector SC/APC pcs
9 Cable pathcord single mode 30 m (SC-APC 18
200000240 pcs 300000210 Fast Connector SC/UPC pcs
to SC-APC)

Remark to Contractor
Category Problem/Root Cause Analysis
All Service Down (Loss Merah)

Comments by Contractor

Technician Information Solution & Finishing

Area Jakarta Installer Arrival Time
Contractor Citra Telinti Mulia PT (B) Work Completed TIme
Installer Name Nur Hidayat Appt. Status/Work Order Successful
Installer Contact No. 081211995741 St Unsuccessful
Slot Time 11am to 1pm

Dengan menandatangani lembar kerja ini saya menyetujui semua hasil kerja dan perbaikan yang sudah dilakukan dengan hasil baik
Jakarta, ...................................................

Cust. Technical Support Signature Customer Signature & Name