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- CONFIDENTIAL -

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Page : 1 of 4
SAQ Supervisor :
Name
Phone : Site ID : Phase :

Site : Site Name : Region :


Owner/Lessor/Nam
e of Tower Provider

Phone : Site Address : . Search Ring :


Name

1. GENERAL INFORMATION

Site ID/
:
Candidate
Site
:
Name
Site
: BTS BSC/ hub site Transmission only
Category
BTS
: Indoor BTS (use shelter/ equipment room) Outdoor BTS
Type
Total
: x meter 2
Space
Site
: Roof Top : Mini Tower (Triangle / SST) height meter
Type
Pole Unit(s) height meter
Wallmounting Unit(s) height meter from ground level
Green Field : Monopole height meter
SST height meter

2. JUSTIFICATION
A. RADIO NETWORK PLANNING
A.1. Radio Frequency
(RF to provide Site Justification based on coverage/ Surrounding Panoramic Picture (360 degree); Market Overview/Economic activity;
Historical processes (Risalah); Closed distance for H3Is sites; Competitor BTS Location, etc.)
Point of view from RNP this candidate is OK although its out of SAR (Search Area Radius.. m), distance from CP : ..m with bearing about
degree and altitude is m.
Coverage objective is good.

Revision Number: 04 1 Document title: Site Justification Proposal (SJP)


Date of issue: November 29 , 2011 of Document number: 2031
Refferences : SAAF Approved by H3I I-5-6-a 5 Release status: Released
- CONFIDENTIAL -
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Page : 2 of 4
SAQ Supervisor :
Name
Phone : Site ID : Phase :

Site : Site Name : Region :


Owner/Lessor/Nam
e of Tower Provider

Phone : Site Address : . Search Ring :


Name

Antenna Information 2G Antenna 3G Antenna


Sector 1 Sector 2 Sector 3 Sector 1 Sector 2 Sector 3
Type
Height of Antenna
Azimuth
Remarks: 2G Existing Antenna 2G/3G Existing Antenna

Resume :
Candidate Remark and Distance from Need Approval Signature
Nominal Point
In SAR N/A
Out SAR Marketing
Relocation Marketing

Proposed by PT Nokia Solutions and Networks Approved/ Acknowledged/ Rejected by PT. Hutchison
Indonesia RF of RNP Dept. : 3 Indonesia (H3I) RF of RNP Dept. :

Name/ Date : Name/ Date :

A.2. Transmission
(TX to provide Site Justification based on LOS to min. 3 other sites; expected to have clear frequency for this site, mention which
frequency will be utilized, etc.

Revision Number: 04 2 Document title: Site Justification Proposal (SJP)


Date of issue: November 29 , 2011 of Document number: 2031
Refferences : SAAF Approved by H3I I-5-6-a 5 Release status: Released
- CONFIDENTIAL -
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Page : 3 of 4
SAQ Supervisor :
Name
Phone : Site ID : Phase :

Site : Site Name : Region :


Owner/Lessor/Nam
e of Tower Provider

Phone : Site Address : . Search Ring :


Name

Propose Microwave Antenna Information


Near End Diameter Height Azimuth Far End Diameter Height Azimuth
No Remark
Site ID (m) (m) (deg) Site ID (m) (m) (deg)
1
2
3
4
5
Note Remark (e = existing; n = new)
Antenna Height measurement from center line of antenna)

Proposed by PT Nokia Solutions and Networks Indonesia - TX of Approved/ Acknowledged/ Rejected by PT. Hutchison 3
TNP Dept. : Indonesia (H3I) TX of TNP Dept. :

Name/ Date : Name/ Date :

B. CIVIL WORK & M E


(CME to provide Site Justification based on the best site type to be built & the prediction of speed for construction; power/ electricity
connection, etc.)

NO CME WORKS.
Not Available on BOQ 341 3G Collocation

Proposed by PT Nokia Solutions and Networks Indonesia C M E Approved/ Acknowledged/ Rejected by H3I
Dept. : C M E Dept. :

Name/ Date : Name/ Date :

C. SITE ACQUISITION & LEGAL


(SAQ & Legal to Provide Site Justification based on the chronologies and comparison of commercial aspects of all candidates; the
completeness of legal supporting documents; etc.)
Revision Number: 04 3 Document title: Site Justification Proposal (SJP)
Date of issue: November 29 , 2011 of Document number: 2031
Refferences : SAAF Approved by H3I I-5-6-a 5 Release status: Released
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Page : 4 of 4
SAQ Supervisor :
Name
Phone : Site ID : Phase :

Site : Site Name : Region :


Owner/Lessor/Nam
e of Tower Provider

Phone : Site Address : . Search Ring :


Name

NO SITAC WORK

Proposed by PT Nokia Solutions and Networks Indonesia SAQ Approved/ Acknowledged/ Rejected by H3I
Dept.: SAQ Dept. :

Name/ Date : Name/ Date :

3. LEASE NEGOTIATION HISTORY

1. Offer from the


: Rp. by :
Contractor
Site Owner wishes : Rp. by :
2. Offer from the Rp. by
: :
Contractor
Site Owner wishes : Rp. by :
3. Offer from the Rp. by
: :
Contractor
Site Owner wishes : Rp. by :
4. Offer from the Rp.
: by :
Contractor
Site Owner wishes : Rp. by :
5. Offer from the Rp.
: by :
Contractor
Site Owner wishes : Rp. by :

4. NOTES

5. FINAL DECISION (for H3I only)

Revision Number: 04 4 Document title: Site Justification Proposal (SJP)


Date of issue: November 29 , 2011 of Document number: 2031
Refferences : SAAF Approved by H3I I-5-6-a 5 Release status: Released
- CONFIDENTIAL -
INCLUDEPICTURE
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S ITE J USTIFICATION
7.4FB03DF0" \* P ROPOSAL
MERGEFORMATINET
INCLUDEPICTURE
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Page : 5 of 4
SAQ Supervisor :
Name
Phone : Site ID : Phase :

Site : Site Name : Region :


Owner/Lessor/Nam
e of Tower Provider

Phone : Site Address : . Search Ring :


Name

Proposed by PT Nokia Solutions and Networks Indonesia Approved/ Rejected by PT. Hutchison 3 Indonesia ,
Regional Project Manager GM Technical Regional

Name/ Date : Name/ Date :

Revision Number: 04 5 Document title: Site Justification Proposal (SJP)


Date of issue: November 29 , 2011 of Document number: 2031
Refferences : SAAF Approved by H3I I-5-6-a 5 Release status: Released

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