Title Page
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TOW NUMBER
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Add location
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Conducted on
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Completed by RTC ELECTRICAL PTY LTD
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Contact phone number (08) 7220 1300
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Prepared by
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Full team onsite
NTD INSTALLATION LOCATION
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NTD LOCATION, before install photo
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NTD Serial number photo
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NTD LOCATION, post install photo
BATTERY PACK INSTALLATION LOCATION
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Is this FSD installation completed with a battery pack?
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before install photo
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serial number photo
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post install photo
FDH PATCHED
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Is this FSD installation completed with FDH patching?
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before install photo
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serial number photo
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post install photo
EXTRA FIBRE INSTALLED
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Is this FSD Installation completed with a fiber length greater than 30 metres
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If yes please state the length greater than 30 metres
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before install photo
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post install photo
PCD INSTALLED
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Is this FSD installation completed with a PCD Installation
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before install photo
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post install photo
FIC INSTALLED
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Is this FSD installation completed with a repair to the existing FIC or FIC installed in conjunction with PCD Installation
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before install photo
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post install photo
Testing Results
FDH TESTING RESULTS
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OLT Test results at the FDH
Optical line test results
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1310nm +
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1490nm -
Customer Authorisation
FSD CUSTOMER AUTHORISATION
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Address
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TOW Number
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Customer Name
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Customer contact number
THE BELOW FORM IS TO CONFIRM AND AUTHORISE THE FOLLOWING
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I agree with the installation method and the proposed location of the NBN Co. Internal equipment, as discussed with the installer prior to the commencement of work
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I agree the work to the premise and installation of the NBN Co. Equipment has been completed to my satisfaction and at the agreed location
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I have received the NBN user guide and battery backup guide
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I agree the site has been left clean and rubbish free by the installation team
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Add signature
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