| 1.0 PERSONAL DETAILS |
| NIQS MEMBERSHIP NUMBER: | P01748O | | SURNAME: | ODOH | | OTHER NAMES: | JUSTICE CHIEDOZIE | | TITLE/GENDER: | MR./M | | DATE OF BIRTH: | 1996-03-12 | | CHAPTER: | ABUJA | | PHONE NUMBER: | 08165580262, | | EMAIL ADDRESS: | odohjustice47@gmail.com | | POSTAL ADDRESS: | HOUSE 6, B-CLOSE, EFAB ESTATE ANNEX LIFECAMP, GWARIMPA, ABUJA MUNICIPAL | | CURRENT MEMBERSHIP GRADE: | PROBATIONER | | DATE OF REGISTRATION: | 2023-11-14 | | 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 | C6 | | MATHEMATICS | B3 | | PHYSICS | C5 | | CHEMISTRY | C6 | | ECONOMICS | C6 |
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| 4.0 EDUCATION: |
| SN | UNIVERSITY/INSTITUTION | COUNTRY | DEGREE/DIPLOMA NAME
(eg. B.Tech Quantity Surveying) | DATE COMPLETED | | 1 | NNAMDI AZIKIWE UNIVERSITY AWKA | NIGERIA | BSC IN QUANTITY SURVEYING | 2021-12-23 |
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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 | MAY 2025 | TPC/2025/01/37 | ABUJA | | LOGBOOK/DIARY STAGE 3 | FEBRUARY 2026 | | |
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| 7.0 PROFESSIONAL EXPERIENCE: |
| SN | EMPLOYER'S NAME AND ADDRESS | POSITION HELD & DATES | DUTIES | | 1 | POPVILLE LUXURY HOMES LIMITED | SENIOR QUANTITY SURVEYOR (2025-11-03 - Date) | SUPERVISORY LEVEL (TEAM LEAD) | | 2 | FUSE ENGINEERS | QUANTITY SURVEYOR (2025-05-01 - 2025-10-31) | CONSULTANT QS |
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| 8.0 EMPLOYER DETAILS |
| a) NAME OF EMPLOYER: | MUHAMMED ALIYU | | b) EMPLOYER'S BUSINESS ADDRESS: | 10 CAIRO STREET WUSE 2 ABUJA | | c) NATURE OF EMPLOYER'S BUSINESS: | REAL ESTATE | | d) POSITION OF APPLICANT: | GENERAL MANAGER | | e) DATE OF EMPLOYMENT: | 2025-11-03 |
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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: | 02633 | | b) SPONSOR'S FULL NAME: | ZEMO ALEXANDER MASHA | | c) SPONSOR'S EMAIL ADDRESS: | ALMASHZEMO@GMAIL.COM | | d) SPONSOR'S CONTACT ADDRESS: | BLOCK 6, FLAT 1, AGBOR CLOSE F C D A HOUSING ESTATE OFF EMEKA ANYAOKU GARKI ABUJA | | e) SPONSOR'S MEMBERSHIP GRADE: | FELLOW | | f) SPONSOR'S RESGISTRATION DATE:: | 2023-11-14 |
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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: | ABUJA
| | NAME: |
| | NIQS MEMBERSHIP NUMBER: |
| | DESIGNATION: |
| | PHONE NUMBER: |
| | DATE: |
| | EMAIL: |
| | SIGNATURE: |
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