| 1.0 PERSONAL DETAILS |
| NIQS MEMBERSHIP NUMBER: | P00344S | | SURNAME: | SANI | | OTHER NAMES: | ITOPA DAVID | | TITLE/GENDER: | MR/MALE | | DATE OF BIRTH: | 1983-10-10 | | CHAPTER: | KADUNA | | PHONE NUMBER: | 08035983875, | | EMAIL ADDRESS: | sanidavid2011@gmail.com | | POSTAL ADDRESS: | SALIANDA EXCEL LTD. P. O. BOX 8899, KADUNA. | | CURRENT MEMBERSHIP GRADE: | PROBATIONER | | DATE OF REGISTRATION: | 2018-09-19 | | 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 | B2 | | MATHEMATICS | C5 | | PHYSICS | C6 | | CHEMISTRY | C5 | | BIOLOGY | C5 |
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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 | 2004-11-24 |
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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 2021 | TPC2/2021/01/R/145 | ABUJA | | LOGBOOK/DIARY STAGE 3 | FEBRUARY 2021 | | |
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| 7.0 PROFESSIONAL EXPERIENCE: |
| SN | EMPLOYER'S NAME AND ADDRESS | POSITION HELD & DATES | DUTIES | | 1 | NIGERIAN AIR FORCE | SQUADRON LEADER (2013-01-25 - Date) | BILLS OF QUANTITIES , SITE SUPERVISION, INTERIM VALUATION, PROJECT MONITORING AND MANAGEMENTS, ETC |
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| 8.0 EMPLOYER DETAILS |
| a) NAME OF EMPLOYER: | NIGERIAN AIR FORCE | | b) EMPLOYER'S BUSINESS ADDRESS: | NIGERIAN AIR FORCE BASE, BILL CLINTON DRIVE AIRPORT ROAD ABUJA, | | c) NATURE OF EMPLOYER'S BUSINESS: | ARM FORCES | | d) POSITION OF APPLICANT: | SQUADRON LEADER | | e) DATE OF EMPLOYMENT: | 2013-01-25 |
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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: | 02001 | | b) SPONSOR'S FULL NAME: | ALUKO-OLOKUN BUKOLA ADENIKE | | c) SPONSOR'S EMAIL ADDRESS: | BUKOLAALUKOOLOKUN@GMAIL.COM | | d) SPONSOR'S CONTACT ADDRESS: | HERALD ASSOCIATES LTD, NO.1 ANUPO CLOSE, GWARI AVENUE, P.O.BOX 8295, BARNAWA KADUNA | | e) SPONSOR'S MEMBERSHIP GRADE: | FELLOW | | f) SPONSOR'S RESGISTRATION DATE:: | 2021-11-16 |
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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: | KADUNA
| | NAME: |
| | NIQS MEMBERSHIP NUMBER: |
| | DESIGNATION: |
| | PHONE NUMBER: |
| | DATE: |
| | EMAIL: |
| | SIGNATURE: |
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