CANDIDATE SITE NAME: DATE:

CANDIDATE SITE ID: SURVEYED BY:

CANDIDATE SITE TYPE:

SITE OWNER:
CONTACT NO.:
ADDRESS:

ZONE:
REGION:

SITE DETAILS
COORDINATES:
LONGITUDE: ELEVATION:
LATITUDE: GROUND ELEVATION:
STRUCTURE HEIGHT:

BTS EQUIPMENT DETAILS

BTS TYPE GSM900 GSM1800
BTS MODEL
MAIN CABINET
EXTENSION CABINET
BATTERY BACUP UNIT
BTS CONFIGURATION
ANTENNA DETAILS
SECTORIZATION SECTOR - 1 SECTOR - 2 SECTOR - 3
TYPE/MODEL
HEIGHT
DIRECTION
TILT
GAIN
BEAMWIDTH (HORIZONTAL)
BEAMWIDTH (VERTICAL)
CANDIDATE SITE PICTURE
CANDIDATE SITE MAP
PROPOSED CABIN/EQUIPMENT
ROOM LOCATION
SITE PANORAMIC PHOTOS
SITE PANORAMIC PHOTOS
TARGET COVERAGE PHOTO