APPENDIX
Appendix1. Application form for right-of –way authorization/foc
installation (To be completed in duplicate)
Name of Applicant

………………………………………………………………………

Address of offices

………………………………………………………………………
……………………………………………………….......................
……………………………………………………….......................

Phone …………………. Fax ………………………… E-mail ……………………..
Contact person

………………………………………………………

Contact telephone number

………………………………………..

Planned district or town of installation:
…………………………………………………………………………………………………
Localities where Application for Right-of-way is required:
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
Attach network diagram(s):

Yes…..

No……

Attach design drawing(s)

Yes…..

No……

Attach time plan for fiber rollout:

Yes…..

No……

Enclose copy of specifications:

Yes…..

No……

(Tick one)

Name and address of cable supplier and/or manufacturer:
………………………………………………………………………………………………….……………………………………………
……………………………………………………
………………………………………………………………………………………………………………………………………………
……………………………………………………

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