| 1.0 PERSONAL DETAILS |
| NIQS MEMBERSHIP NUMBER: | P00546I | | SURNAME: | ISAH | | OTHER NAMES: | ALHASSAN MOHAMMED | | TITLE/GENDER: | MR /MALE | | DATE OF BIRTH: | 1993-03-02 | | CHAPTER: | NIGER | | PHONE NUMBER: | 07063276035, 09066451645 | | EMAIL ADDRESS: | alhassanisah1970@gmail.com | | POSTAL ADDRESS: | MALLAMAI NUPE STREET, EMI-ALH. ISAH B.B. YISSANTA AREA, BIDA | | CURRENT MEMBERSHIP GRADE: | PROBATIONER | | DATE OF REGISTRATION: | 2023-03-24 | | DIET: | MARCH, 2026 | | DISABILITY: | NO |
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| 2.0 PREFERRED INTERVIEW CENTRE: |
| ABUJA |
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| 3.0 O' LEVEL SUBJECTS RESULT (5 CREDITS FROM WAEC/NECO/NABTEB): |
| SUBJECTS | GRADE | | ENGLISH | - | | MATHEMATICS | - | | PHYSICS | - | | CHEMISTRY | B3 | | AGRIC SICENCE | B2 |
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| 4.0 EDUCATION: |
| SN | UNIVERSITY/INSTITUTION | COUNTRY | DEGREE/DIPLOMA NAME
(eg. B.Tech Quantity Surveying) | DATE COMPLETED | | 1 | FEDERAL UNIVERSITY OF TECHNOLOGY MINNA, NIGER STATE | NIGERIA | B.TECH IN QUANTITY SURVEYING | 2019-12-11 |
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| 5.0 MEMBERSHIP OF ANY OTHER PROFESSIONAL INSTITUTION(S): (IF ANY) |
| SN | NAME OF INSTITUTION | CURRENT GRADE | HOW MEMBERSHIP WAS ACHIEVED
(E.G. EXAMINATION) | YEAR REGISTERED/
OBTAINED/ELECTED |
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| 6.0 PATICULARS OF TPC EXAMINATION AND LOGBOOK/DIARY STAGE 3 PASSED (OR RICS MEMBERSHIP) |
| DETAILS | YEAR/MONTH | EXAM. NO.
(WHERE APPLICABLE) | CENTER
(WHERE APPLICABLE) | | TPC EXAMINATION | SEPTEMBER 2025 | TPC2/2025/01/32 | ABUJA | | LOGBOOK/DIARY STAGE 3 | JULY 2025 | | |
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| 7.0 PROFESSIONAL EXPERIENCE: |
| SN | EMPLOYER'S NAME AND ADDRESS | POSITION HELD & DATES | DUTIES | | 1 | JAICEAN NETWORKS | PROJECT SUPERVISOR (2026-02-02 - Date) | ? INSPECTION OF WORK TO ENSURE CONFORMANCE. ? PROVIDE ADVICE ON CONTRACTUAL CLAIMS AND DISPUTES. SPECIFICATION. ? PREPARE INTERIM REPORTS AND FILLING IN OTHER PAPERWORK. ? PERFORM RISK, VALUE MANAGEMENT, AND COST CONTROL DURING CONSTRUCTION PHASE. ? PROVIDE TECHNICAL INPUT AND CONTRIBUTE TO SOLVING PROBLEM ON SITE. ? PARTICIPATE AND MONITOR QA/QC ACTIVITIES INCLUDING ADHERENCE TO METHOD STATEMENTS. ? CONTRIBUTE TO PROJECT CLOSE-OUT ACTIVITIES. |
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| 8.0 EMPLOYER DETAILS |
| a) NAME OF EMPLOYER: | JAICEAN OKON | | b) EMPLOYER'S BUSINESS ADDRESS: | ABUJA | | c) NATURE OF EMPLOYER'S BUSINESS: | CONSTRUCTION OF SOLAR FARMS | | d) POSITION OF APPLICANT: | MANAGER | | e) DATE OF EMPLOYMENT: | 2026-02-02 |
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| f) I hereby attest that to the best of my knowledge, the particulars given by me and the applicant here are true and correct. |
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EMPLOYER'S SIGNATURE & DATE |
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| 9.0 SPONSOR DETAILS |
| a) SPONSOR'S NIQS MEMBERSHIP NUMBER: | 02264 | | b) SPONSOR'S FULL NAME: | KASIMU MOHAMMED | | c) SPONSOR'S EMAIL ADDRESS: | KASIMUMOHAMMED@YAHOO.COM | | d) SPONSOR'S CONTACT ADDRESS: | QUANTITY SURVEYING DEPARTMENT, THE FEDERAL POLYTECHNIC BIDA,PMB 55, DOKO ROAD, BIDA | | e) SPONSOR'S MEMBERSHIP GRADE: | MEMBER | | f) SPONSOR'S RESGISTRATION DATE:: | 2010-02-18 |
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| g) I hereby declare that to the best of my knowledge, the particulars given by me and the applicant here are true and correct. |
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SPONSOR'S SIGNATURE & DATE |
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| 10.0 APPLICANT'S DECLARATION |
I declare that the particulars given on this form are true and correct and that I will abide by the Rules and Regulations governing the Institute’s Examinations.
By completing and submitting this application form, you agree to be bound by all existing NIQS Examination Policies, Rules and Guidelines and the rules guiding the MARCH, 2026 professional examination in particular.
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| Applicant's Signature.......................................................................... Date.............................................. |
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| 11.0 STATE CHAPTER CHAIRMAN/SECRETARY (COMPULSORY) TO BE COMPLETED MANUALLY |
| CHAPTER: | NIGER
| | NAME: |
| | NIQS MEMBERSHIP NUMBER: |
| | DESIGNATION: |
| | PHONE NUMBER: |
| | DATE: |
| | EMAIL: |
| | SIGNATURE: |
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