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 4963643 Customer ID C1708186

BAST Number Name Andriyanto
WO Date 23 Agustus 2024 SA Date 11 Oktober 2022
Appt. Date 24 Agustus 2024 Service Status Active
Service Aging PIC Andriyanto
683
Maintenance
Address DKI JAKARTA JAKARTA BARAT (11740)
Appt. Type Maintenance CARINA SAYANG RW 10 JLN. TARUMA
PERKASA Number 8A RW 4 / RT 12
General Retail [HPFA]
Project Name Kode Pos : 11740
[JKT.100.1101/CS10.050/A15]
Class Type Customer Regular
Installation Type AERIAL
ONT (4 Port) V2 - Jet20 Combo
Ticket Number 8673146 Package/Plan
Internet A - Combo TV (Jet20) A -
Ticket Date 23 Agustus 2024
Billing Cycle Date 11
COMPLAIN - All Service Bad Rx (Signal
Initiate Ticket Category Value Account state 0.00
Unstandard)
Mobile 081286302945
Phone
Email andriyanto6532@gmail.com

Device Information
No Item ID Descriptions Serial Number Mac Address
1 ONTHW.001 HUAWEI OPTICAL NETWORK TERMINAL (ONT) 4857544393857BAF 98f0.8326.7f10
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 APC to SC-APC) pcs

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
089618813373
Category Problem/Root Cause Analysis
All Service Bad Rx (Signal Unstandard)

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