Title*

Mr.Ms.

Name *

Surname *

Company Name

Position Held *

E-mail Address *

Direct Number

Mobile

Company Address

Country

SITE DETAILS

Site Address

Building

Room

Cabinet Space


PROVISIONING INFORMATION
Physical

Switch Name

Trunk Name

Switch Type

No. of E1 ccts

Circuit Presentation

Impedence

Echo Cancellation

Signalling

Signalling User Type

Network Indicator NI

SPC

Circuit Presentation

STP PC

Signalling Mode

Number of Signalling Links

SLC

TS 16 used for voice?

Signalling Time Slot

Circuit Hunting

COT Check Required?

Control Dual Seizure Control

CRC4

Transmission Medium

Dial Plan

International

National

Notes