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 5017807 Customer ID C1867366

BAST Number Name Lioe Hangga Prawira
WO Date 01 September 2024 SA Date 10 Mei 2023
Appt. Date 02 September 2024 Service Status Active
Service Aging PIC Lioe Hangga Prawira
481
Maintenance
Address DKI JAKARTA JAKARTA BARAT (11830)
Appt. Type Maintenance TAMAN SURYA 3 JLN. TAMAN SURYA
PERTIWI II BLOK I2 Number 6 Kode
General Retail [RFS]
Project Name Pos : 11830
[JKT.100.1401/SURYA3-15.033/B05]
Class Type Customer Regular
Installation Type AERIAL
ONT (4 Port) V2 - Value30 Combo
Ticket Number 8744300
Internet A - Combo TV (Value30) A -
Package/Plan
Ticket Date 01 September 2024 Upgrade Customer Loyalty Program
COMPLAIN - All Service Down (Loss To Fast50 (1 Tingkat) -
Initiate Ticket Category
Merah) Billing Cycle Date 10
Value Account state 0.00
Mobile 087875210127
Phone 087875210127
Email sent2hangga@yahoo.co.id

Device Information
No Item ID Descriptions Serial Number Mac Address
1 ONTHW.001 HUAWEI OPTICAL NETWORK TERMINAL (ONT) 485754434F1DCBAC 108f.feaa.a9f1
2 STB Android Box 1
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 Android 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
0215445202 / 087875210127
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 Andy Sundala Appt. Status/Work Order Successful
Installer Contact No. 0895320451614 St Unsuccessful
Slot Time 9am to 11am

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