Form Type : Form Internal

Form Serial Number : FORM PERMINTAAN

Work Date : Finish Date : Work Number :

Request By Company : Request Date :
Request By Media :  Phone  Letter  E-Mail  Fax  Others …............................
Request By Name : Request Number :

IDC INDONESIA LOCATION :  CYBER  IDC-3D  IDC-BATAM  IDC-MKS

IDC INDONESIA PREMISES :  MDF  NOC  ME Room  Others
( MDF / NOC / ME ROOM / Other )

IDC INDONESIA SERVICES : Interkoneksi / Smart Hand / Penarikan Kabel / Others

WORK DETAIL

ADDITIONAL EQUIPMENT FACILITIES

 Open Rack : ……… Unit  RJ-45 : ……… bh
 Close Rack : ……… Unit  Roset RJ-11 : ……… bh
 Canti Lever : ……… bh  RJ-11 : ……… bh
 Power : ……… KVA  Terminal LSA : ……… bh
 Power Cable : ……… bh  Kabel Jumper Cooper : ……… Mtr
 Power Port : ……… bh  Kabel Jumper 2 Mega : ……… Mtr
 Multi Stacker : ……… bh  Ethernet Cable : ……… Box
 Roset RJ-45 …... Hole : ……… bh  Kabel Fiber : ……… Mtr/bh
 Cage Nut : …........ bh  …………………………… : ………

NOTES

PEMOHON LOGISTICS

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