Annex 6 Site Kick Off Meeting Form (SKOM)

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CW KICK OFF MEETING FORM NSN CME DEPARTMENT TELKOMSEL PROJECT

1 (1)

23/04/07

DOC ID NSN/TSELCME 3

CW KICK OFF MEETING FORM


(Applicable to Green Field, Rooftop & in building Sites)

1. Site Information Site Name : Site ID : 2. Representative Information SITAC / CME Partner Representative No Name Dept Contact No 1 2 3 4 Land lord Representative No Name Dept Contact No 1 2 3 4 3. Miscellaneous Information 1 Site Access : 3 5 7 9 Sitac Status : Work Commerce Date Expected RFI & Complete Date Temp AC Power Available 6 : 8 : : Yes / NO

Date : Meeting Held at :

NSN Representative No Name Dept 1 2 3 4 Community Representative No Name Dept 1 2 3 4

Contact No

Contact No

2 4

Working Hours Sitac Completion date

: Lift Available : Allowable working Days : Amp : Single / 3 Phase

4. General Comments or special requirement

Partner (SITAC) Name Sign. Date Partner (CME) Name Sign. Date

NSN (SITAC) Name Sign. Date NSN (CME) Name Sign. Date

Landlord Name Sign. Date Community Name Sign. Date

Note: This form is required to fill up by SITAC team during handover for CME progress to CME Department.

DOC.Revision 1

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