1. DETAILS
2. REPORT BY
Company Name
*
Circuit Type
DA
DG
Domestic ATM
Domestic Frame Relay
Domestic IPVPN
DQ
DWDM
GITN Node
Global ATM
Global Frame Relay
Global IPVPN
Interim IPVPN
IPLC
IPValue
ISDN BRI
ISDN PRI
MAYPAC
Metro-E
PMR
PPOA
SDSL
SMILink
Speech (SP)
Telegraph (TG)
Telex (MA)
Tieline (TL)
TMNet Direct(DQ)
Tollfree
VSAT
XLink
*
Circuit Speed
4.8K
9.6K
14.4K
28.8K
56K
64K
128K
256K
384K
512K
1024K
1920K
1984K
2M
34M
45M
155M
2.5G
*
Circuit No
*
Title
Mr
Mrs
Ms
Contact Name
*
Phone No
*
Mobile No
Fax No
E-mail
3. TYPE OF FAULT
Type Of Fault
Line down
Line Intermittent
Packet Loss
Receive Error
Slow Response / High Latency
Unable to access HQ or branch
Routing problem
Unable to use system
Over utilization
Others
4. ADDITIONAL INFORMATION (OPTIONAL)
DETAILS OF SIDE A
Company Name
Contact Name
Phone No
Mobile No
E-Mail
DETAILS OF SIDE B
Company Name
Contact Name
Phone No
Mobile No
E-Mail
5. COMMENTS (OPTIONAL)
Please review the information before you submit. Only valid circuit number will be processed.
