Information
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S/O & Address
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RSP
- Vodafone
- Spark
- 2Degrees
- Orcon
- Stuff Fibre
- Slingshot
- My Republic
- Trust Power
- Voyager
- Skinny
- Unlimited Broadband
- Call Plus
- Flip
- HD Net
- Enable D2D
- Big Pipe
- Amuri Net
- Attrix
- Contact Energy
- Vibe Communications
- Genesis
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RFS Date
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Civil grade
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Connect grade
- Back to Back
- Underfloor
- External Suface Cabling
- Ceiling
- Difficult - 2man team
- Internal Capping / Low Smoke
- Cavity Pull
- Data Cabinet
- Conduit/Flexi B2B
- B2B with Capping/Low Smoke
- Internal Capping & Ceiling
Customer / Job Details
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Name & Contact no
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Type of installation?
- Brownfields - (Civil & Connect)
- Greenfields
- Brownfields - PALI
- MDU
- ROW
- INTERNALS ONLY
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Site instructions
H&S / SITE INFO
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Dogs on site?
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Locked gate?
BILLING INFO
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Default metres
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Actual metres (FAP - ETP)
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If default distance is more than 30m, please explain why necessary to exceed 30m on actual distance
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Internal Radial metres (ETP -ONT)
CIVIL WORK DETAILS
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What work type is to be completed?
- Fenceline
- Grass/Garden Trench
- Hard Surface Trench
- Slotcut
- Thrusting
- PALI
- Undermine
- Shingle/Stones Trench
- Terra Saw Trench
- Surface Mount
- Conduit
- Paving/Tiles
- Asphalt Trench
- None
- Fibre Blow Only
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Distance of each work type
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Additional notes for civil tech
INTERNAL WORK DETAILS
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Install connect type
- Underfloor
- Ceiling
- External Ruggerdized
- External Conduit/Flexi
- Internal Capping/Low Smoke
- Exposed LZSH Cabling
- Back to Back
- Cavity Pull
- GREENFIELD Wiring
- Data Cabinet
- Internal Capping & Ceiling
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Preferred location of ONT?
- Master Bedroom
- Lounge
- Bedroom
- Study
- Kitchen/Kitchen Cupboard
- Dining Room
- Sleep Out
- Hallway / Halway Cupboard
- Garage
- 2nd lounge
- Media Panel / Data Cab
- Water Cylinder Cupboard
- Stairwell Cupboard
- Other Cupboard
- Pantry
- Study Nook
- Wash House
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Preferred location of RGW?
- Master Bedroom
- Lounge
- Bedroom
- Study
- Kitchen/Kitchen Cupboard
- Dining Room
- Sleep Out
- Hallway / Halway Cupboard
- Garage
- 2nd lounge
- Media Panel / Data Cab
- Water Cylinder Cupboard
- Stairwell Cupboard
- Other Cupboard
- Pantry
- Study Nook
- Wash House
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Phone integration / copper cutover
- Yes
- No
- Customer prefer plug into Modem / ONT
- Customer does not want ph connection
- preferred location for ONT has no existing ph jack & customer is aware existing ph jacks will not be connected to VoIP service
- ONT location has no phone Jack's nearby and is okay with the base set plugged directly into the ONT/Modem
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Monitored Alarm/Device
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Additional notes for install tech
PHOTOS
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Photo of FAP
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Photos - outline of works
Signed consent
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I confirm that:
- I have seen, read and understood this information and the end user terms and accept those terms; and
- If I am not the owner of the property, I have obtained the consent of the owner for the installation works; and
- I understand that there may be an impact on the operation of burglar and medical alarms, particularly monitored alarms. [Note: check with your alarm provider or telecommunications service provider] -
I have read and agree to Enable's End User Terms
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I understand and approve the methodology of works for my fibre install
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Authorised signature :
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Enable representative:
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We will carry out the work in accordance with Enable End User Terms (http://www.enable.net.nz/about-enable/governance/ufb-reference-offer.html ).
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Scoper Notes