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: ………………………………………………………………………………………………….…………………………………………… …………………………………………………… ……………………………………………………………………………………………………………………………………………… …………………………………………………… 15