Title Page
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Service Commencement Date:
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Service Type:
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POP Address: (Address A)
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POP Address: (Address B)
Technical Information
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Service/Circuit ID Number
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Order ID: (If Applicable)
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Bandwidth:
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Received dBm:
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Transmitted dBm:
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OTDR Test Results:
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A- Side Port:
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A- Side Port
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Remarks:
Sign-Offs
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Zoom Fibre Representative:
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Designation:
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Date:
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Signature: