Service Provider Certification Form

Service Provider Information

Name of Service Provider: *

Company Address: *

City: *

State: *

Zip Code: *

Country: *

Telephone Number: *

Email Address: *

Website: *

Service Provider's Network Information

Does this service provider have a billing relationship with the FTTH Subscribers in your network?: * No Yes

Are broadband services commercially available over your FTTH network?: * No Yes

How many subscribers are currently served?: *

Location and name of FTTH network deployment: *

Number of total subscribers: *

How many subscribers will this FTTH deployment ultimately reach?

Number of homes passed: *

What is the total number of residential households in your serving areas to whom services can be marketed over an FTTH access network?

Total residential communication subscribers: *

What is the total number of residential household, subscribed to voice, data or video services, served by Service Provider's entire wire line network?

When will your deployment be completed?: *

Format: Jul 22 2009

Applicant Information

First Name: *

Last Name: *

Telephone Number: *

Email Address: *

Applicant's Network Information

Is your access path entirely optical fiber all the way to the subscriber's dewelling unit?: * No Yes

What type of technology does your network utilize?: * Passive Optical Network (PON) Active Ethernet

What vendor's Access Equipment are you currently deploying? (Vendor's Names): *

Does your network have other Access Technologies deployed (ie: FTTC, FTTN, HFC): * No Yes

Will you limit use of the Fiber-Connected Home badge and image to only the FTTH deployment?: * No Yes

Certification Agreement

Do you accept our terms and conditions?*

About Us
Themes
Events
Newsroom
Regulatory
Certification
Membership
Contact Us