Africell Okapi

Building Name

Street/PlotNumber

City/Town

State/Province

District/Community

Postal Code

FirstName

MiddleName

LastName

Title

Phone

Mobile

Email

Fax

Address

ContactType

AccessHours

Note

Single Owner

Master Agreement Site

Government

Corporation

Community Association

Partnership

Other

Lease Space:

Length

Width

Height

Total sq meters:

Estimated Rent Cost

Estimated Rent Currency

Forecast Lease Date

Does The Owner Have The Lease

Yes

No

Can The Site Be Leased

Yes

No

Probability Of Signing The Lease Agreement

100%

80%

60%

40%

Number Of Permits Required

Did You Talk To A Permit Agent About The Site

Duration Of The Permit Process

Can The Site Be Permitted

Permit Name

Permit Agency Name

Location Address

Location Owner's Contact Information

Type of Ownership

Lease Information

Permit Information

location GPS coordination and elevation detail

Site Use

Network Element (radio equipment) location:

Co-Location Information

Site Condidtion

Access Road Condition

Equipment Room Type

Construction Information

Existing Infrastructure Information