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 5096996 Customer ID C1243019

BAST Number Name Dr Adi Kurnia Nur
WO Date 17 September 2024 SA Date 08 Juni 2018
Appt. Date 18 September 2024 Service Status Active
Service Aging PIC Dr Adi Kurnia Nur
2294
Maintenance
Address DKI JAKARTA JAKARTA BARAT (11830)
Appt. Type Maintenance CITRA GARDEN 2 JLN. KESAYANGAN
UTARA BLOK D6 Number 1A RW 19 /
General Retail [RFS]
Project Name RT Kode Pos : 11830
[JKT.100.1401/CG2.050/A02]
Class Type Customer Regular
Installation Type AERIAL
1 Public Static IP (Retail) - Star TV
Ticket Number 8855853
Package/Plan 2018 - ONT V2 (PI20) - Fast50
Ticket Date 17 September 2024 (2023.E) -
COMPLAIN - All Service Down (Loss Billing Cycle Date 8
Initiate Ticket Category
Merah)
Value Account state 0.00
Mobile 0817801710
Phone
Email adireno@hotmail.com

Device Information
No Item ID Descriptions Serial Number Mac Address
1 ONTHW.001 HUAWEI OPTICAL NETWORK TERMINAL (ONT) 48575443CC5C6F9A a0f4.7958.5a75
2 STB Android Box 1 2007L3G401490 542AA27FE8C8
3 STB Android Box 2 2007L3G807040 542AA294A8EF
4

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 STB Android Box 2 STB #2
4

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
087817102002
Category Problem/Root Cause Analysis
All Service Down (Loss Merah)

Comments by Contractor
Appointment delayed on 2024-09-17

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 3pm to 5pm

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