IP ID - AMD387

APPENDIX-D
OTHER TENANT CERTIFICATION OF BTS FOR COMPLIANCE OF THE EMF EXPOSURE LEVELS (BROADBAND MEASUREMENT)
D-I : SITE DATA & TECHNICAL PARAMETERS

Name of BTS : AMD_CityGoldMotera_387_5_1(GJ/01/5271/0738/0014/05/03/00068) Date : 01-Dec-2017

Operator BSNL-UMTS (OTS) Idea-GSM (OTS) Idea-UMTS (OTS) Telenor-GSM (OTS) Vodafone-GSM (OTS)

UW_GJ_2347 (Adj IP ID : IN- AHDSBRACHERS (Adj IP ID : IN-

Site ID AMD387 ABD548 (Adj IP ID : IN-1112667 ) ABD548 (Adj IP ID : IN-1112667 )
1112667 ) 1112667 )
City Gold Mall (Adj IP ID : IN- City Gold Mall (Adj IP ID : IN- Motera Stadium (Adj IP ID : IN- AHDSBRACHERS (Adj IP ID : IN-
Name AMD_CityGoldMotera_387_5_1
1112667 ) 1112667 ) 1112667 ) 1112667 )
Date of Commissioning 26-Jun-10 19-Feb-11 02-May-11 16-Oct-11 26-Jul-12
Building of City Gold Mall,Survey Building of City Gold Mall,Survey Building of City Gold Mall,Survey Building of City Gold Mall,Survey
No:174-A,Motera Stadium, No:174-A,Motera Stadium, No:174-A,Motera Stadium, No:174-A,Motera Stadium,
Address City Gold Motera Sabarmati, Moje:Acher, Sabarmati, Moje:Acher, Sabarmati, Moje:Acher, Sabarmati, Moje:Acher,
Tal:&Dist:Ahmedabad 380005, Tal:&Dist:Ahmedabad 380005, Tal:&Dist:Ahmedabad 380005, Tal:&Dist:Ahmedabad 380005,
Gujarat. Gujarat. Gujarat. Gujarat.
DATA

Lat / Long 23.09211 / 72.59281 23.09220 / 72.59274 23.09220 / 72.59274 23.09220 / 72.59274 23.09220 / 72.59274

RTT/GBT RTP RTP RTP RTP RTP

SITE

Building Height AGL mts 21 19 19 19 19

Antenna Height AGL mts 30 23 23 22 20

Make and Model of Antenna RFSUMTS ANDREW-HBX6516DSVTM ANDREW-HBX6516DSVTM ANDREW;HBX-6516DS-VTM 858DG65T6ESY

System Type ( GSM/CDMA/UMTS) UMTS (OTS) GSM (OTS) UMTS (OTS) GSM (OTS) GSM (OTS)
2166.4,2166.4,2166.4,2166.4,2166.
Base Channel Frequency MHz 2156.4,2156.4,2156.4 935.4,936.2,936.6 1806.6,1805.8,1805.4 941,941.8,941.4
4
Carriers/Sector 1,1,1 4,4,4 1,1,1,1,1 4,4,4 6,6,4

Tx Power dBm 43 43 43 43 43

Note : This self-certificate is being submitted on account of an upgrade New BTS Added made at the site I-GJ-AMBD-ENB-I127 By Reliance Jio. Digital signature of Authorized Signatory / Person (BSNL,GJ)
We hereby confirm that the above site is compliant to the EMF levels as specified by DOT and effective at present Date of Upgradation:27-Nov-2017

Purpose of Submission ±Upgrade

Digitally signed
ASHUTOS by ASHUTOSH
H KEDARNATH
GUPTA
KEDARNA Date:
Page 1 of 8
Certificate Id GJ/01/5271/0738/0014/05/03/00068/UO/05122017-B
:
Generated on 01-Dec-2017 13:01 PM
TH GUPTA 2017.12.05
15:55:08 +05'30'
 IP ID - AMD387

Operator Vodafone-UMTS (OTS) Airtel-GSM (OTS) Airtel-UMTS (OTS) BSNL-GSM (OTS) Airtel-FDD LTE (OTS)

AHDsbracherW (Adj IP ID : IN-

Site ID 350 (Adj IP ID : IN-1112667 ) GJU0350 (Adj IP ID : IN-1112667 ) AMD387 GJ900350 (Adj IP ID : IN-1112667 )
1112667 )
AHDsbracherW (Adj IP ID : IN- EAHMCITYGOL (Adj IP ID : IN- CITYGOLDMALLIND (Adj IP ID : IN- EAHM_CITYGOLDMALLIND_IFBLTE
Name AMD387_CityGoldMotera_5_1
1112667 ) 1112667 ) 1112667 ) (Adj IP ID : IN-1112667 )
Date of Commissioning 05-May-14 25-Oct-10 11-Oct-15 25-Jun-10 03-Sep-16
Building of City Gold Mall,Survey Building of City Gold Mall,Survey Building of City Gold Mall,Survey Building of City Gold Mall,Survey
No:174-A,Motera Stadium, No:174-A,Motera Stadium, No:174-A,Motera Stadium, No:174-A,Motera Stadium,
Address Sabarmati, Moje:Acher, Sabarmati, Moje:Acher, Sabarmati, Moje:Acher, City Gold Motera Sabarmati, Moje:Acher,
Tal:&Dist:Ahmedabad 380005, Tal:&Dist:Ahmedabad 380005, Tal:&Dist:Ahmedabad 380005, Tal:&Dist:Ahmedabad 380005,
Gujarat. Gujarat. Gujarat. Gujarat.
DATA

Lat / Long 23.09220 / 72.59274 23.09220 / 72.59274 23.09220 / 72.59274 23.09211 / 72.59281 23.09220 / 72.59274

RTT/GBT RTP RTP RTP RTP RTP

SITE

Building Height AGL mts 19 19 19 21 19

Antenna Height AGL mts 20 27 27 25 27

Make and Model of Antenna HBX-6516DS-VTM HWXX-6516DS-VTM HWXX-6516DS-VTM 730376 HWXX-6516DS-VTM

System Type ( GSM/CDMA/UMTS) UMTS (OTS) GSM (OTS) UMTS (OTS) GSM (OTS) FDD LTE (OTS)

Base Channel Frequency MHz 2161.4,2161.4,2161.4 1853.2,1854,1847.6 2146.5,2146.5,2146.5,2146.5, 950,950.4,952.6 1826.4,1826.4,1826.4,1826.4,

Carriers/Sector 1,1,1 4,4,2 1,1,1,1, 4,4,4 1,1,1,1,

Tx Power dBm 43 43 43 43 43

Page 2 of 8
Certificate Id GJ/01/5271/0738/0014/05/03/00068/UO/05122017-B
:
Generated on 01-Dec-2017 13:01 PM
 IP ID - AMD387

Reliance Jio-TDD LTE (Service

Operator Vodafone-FDD LTE (OTS)
Site ID 0800502 (Adj IP ID : IN-1112667 )
LMAHD0502-AHDsbracherL (Adj IP
Name
ID : IN-1112667 )
Date of Commissioning 25-Oct-16
Building of City Gold Mall,Survey
No:174-A,Motera Stadium,
Address Sabarmati, Moje:Acher,
Tal:&Dist:Ahmedabad 380005,
Gujarat.
DATA
Idea-FDD LTE (OTS)
LABD548 (Adj IP ID : IN-1112667 )
City Gold Mall (Adj IP ID : IN-
1112667 )
12-Apr-17
Building of City Gold Mall,Survey
No:174-A,Motera Stadium,
Sabarmati, Moje:Acher,
Tal:&Dist:Ahmedabad 380005,
Gujarat.
Airtel-TDD LTE (OTS)
GJ800350 (Adj IP ID : IN-1112667 )
EAHMTDCITYGOLDMALLINDIFBLTE
(Adj IP ID : IN-1112667 )
17-Nov-17
Building of City Gold Mall,Survey
No:174-A,Motera Stadium,
Sabarmati, Moje:Acher,
Tal:&Dist:Ahmedabad 380005,
Gujarat.
Remarks
Proposal)
I-GJ-AMBD-ENB-I127 (Adj IP ID :
IN-1112667 )
City Gold Mall (Adj IP ID : IN-
1112667 )
01-Dec-17
Building of City Gold Mall,Survey
No:174-A,Motera Stadium,
Sabarmati, Moje:Acher,
Tal:&Dist:Ahmedabad 380005,
Gujarat.

Lat / Long 23.09220 / 72.59274 23.09220 / 72.59274 23.09220 / 72.59274 23.09220 / 72.59274

RTT/GBT RTP RTP RTP RTP

SITE

Building Height AGL mts 19 19 19 19

Antenna Height AGL mts 20 23 32 27

RB-S-Wave 18/18/23/23-65-
Make and Model of Antenna DBXLH-6565EC-VTM ANDREW-HWXX-6516DS1-VTM HWXX-6516DS-VTM
18DV10CI-F (MB) (iRET)
System Type ( GSM/CDMA/UMTS) FDD LTE (OTS) FDD LTE (OTS) TDD LTE (OTS) TDD LTE (Service Proposal)

Base Channel Frequency MHz 1815.9,1815.9,1815.9 1834.1,1834.1,1834.1 2355,2355,2355,2355, 2315,2315,2315

Carriers/Sector 1,1,1 1,1,1 1,1,1,1, 2,2,2

Tx Power dBm 43 43 43 46

Page 3 of 8
Certificate Id GJ/01/5271/0738/0014/05/03/00068/UO/05122017-B
:
Generated on 01-Dec-2017 13:01 PM
 IP ID - AMD387

D-II : BROADBAND MEASUREMENT OF POWER DENSITY (W/Sqm)

Corner Details :
Own Building Top Corners and other points on the periphery of exclusion zone
Building 0 (B0)

Lat / Long : 23.0922/72.59274 C1 C2 C3 C4 Remarks

Distance from Tower Base (mts) 17.00000 20.00000 31.00000 20.00000
DoT Limit (W/Sqm) * 0.4677 0.4677 0.4677 0.4677
Measured Value (W/Sqm) 0.01584 0.00364 0.00345 0.00596

Ratio (Measured/DoT Limit) 0.0339 0.0078 0.0074 0.0128

NORMALLY COMPLIANT (YES/ NO ) YES YES YES YES

Page 4 of 8
Certificate Id GJ/01/5271/0738/0014/05/03/00068/UO/05122017-B
:
Generated on 01-Dec-2017 13:01 PM
 IP ID - AMD387

Measured value of power density(W/Sqm) at adjacent buildings conspicuous locations within 60 meters radius. Building Details :

Measurement at various floors of the adjacent building

Building 1(B1)

Azimuth : 100 Distance From BTS(mts) : 54

Lat : 23.09212 Long : 72.59326 Floor 2 Remarks

DoT Limit (W/Sqm) * 0.46770
Measured Value (W/Sqm) 0.002929

Ratio (measured/DoT Limit) 0.00626

NORMALLY COMPLIANT (YES/ NO ) YES

Measurement at various floors of the adjacent building

Building 2(B2)

Azimuth : 130 Distance From BTS(mts) : 33

Lat : 23.09201 Long : 72.59299 Floor 4 Remarks

DoT Limit (W/Sqm) * 0.46770
Measured Value (W/Sqm) 0.00281

Ratio (measured/DoT Limit) 0.00601

NORMALLY COMPLIANT (YES/ NO ) YES

Page 5 of 8
Certificate Id GJ/01/5271/0738/0014/05/03/00068/UO/05122017-B
:
Generated on 01-Dec-2017 13:01 PM
 IP ID - AMD387

SPOT 1 ground Remarks

Lat 23.09194

Long 72.59290

Azimuth 150

OTHER CONSPICUOUS Distance from BTS (mts) 33.00000

LOCATIONS ON THE DoT Limit (W/Sqm) * 0.46770
GROUND
Measured Value (W/Sqm) 0.00279

Ratio (Measured/DoT Limit) 0.00596

NORMALLY COMPLIANT YES

(YES/ NO )

Page 6 of 8
Certificate Id GJ/01/5271/0738/0014/05/03/00068/UO/05122017-B
:
Generated on 01-Dec-2017 13:01 PM
 IP ID - AMD387

MEASUREMENT PHOTOS-AMD387

C1_Measurement C2_Measurement

C3_Measurement C4_Measurement

Page 7 of 8
Certificate Id GJ/01/5271/0738/0014/05/03/00068/UO/05122017-B
:
Generated on 01-Dec-2017 13:01 PM
 IP ID - AMD387

B1_Measurement B2_Measurement

Spot1_Measurement

Page 8 of 8
Certificate Id GJ/01/5271/0738/0014/05/03/00068/UO/05122017-B
:
Generated on 01-Dec-2017 13:01 PM