| 1.0 PERSONAL DETAILS |
| NIQS MEMBERSHIP NUMBER: | P00513M | | SURNAME: | MUSA | | OTHER NAMES: | MUHAMMAD ABUBAKAR | | TITLE/GENDER: | MR./MALE | | DATE OF BIRTH: | 1992-04-08 | | CHAPTER: | BAUCHI | | PHONE NUMBER: | 08039224513, | | EMAIL ADDRESS: | muzzabkr@gmail.com | | POSTAL ADDRESS: | ABUBAKAR TAFAWA BALEWA HOUSING ESTATE, BAUCHI N0. 46 | | CURRENT MEMBERSHIP GRADE: | PROBATIONER | | DATE OF REGISTRATION: | 2022-08-23 | | 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 | C5 | | MATHEMATICS | B3 | | PHYSICS | C6 | | ECONOMICS | C5 | | AGRIC SICENCE | C4 |
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| 4.0 EDUCATION: |
| SN | UNIVERSITY/INSTITUTION | COUNTRY | DEGREE/DIPLOMA NAME
(eg. B.Tech Quantity Surveying) | DATE COMPLETED | | 1 | ABUBAKAR TAFAWA BALEWA UNIVERSITY BAUCHI | NIGERIA | B. TECH IN QUANTITY SURVEYING | 2019-05-09 |
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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/2025/04/93 | GOMBE | | 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 | ABUBAKARA TAFAWA BALEWA UNIVERSITY BAUCHI | LECTURER (2023-06-16 - Date) | SUPPORT ACADEMIC STAFF IN TEACHING AND OTHER ADMINISTRATIVE FUNCTIONS | | 2 | TURAKI HERITAGE NIGERIA LIMITED | RESIDENT QS (2020-08-05 - 2024-05-16) | MANAGED COST ESTIMATES, SITE SUPERVISIONS, SITE PROGRESS REPORT, BUDGET PREPARATION |
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| 8.0 EMPLOYER DETAILS |
| a) NAME OF EMPLOYER: | ABUBAKAR TAFAWA BALEWA UNIVERSITY BAUCHI | | b) EMPLOYER'S BUSINESS ADDRESS: | DEPT OF QS YELWA CAMPUS, ATBU BAUCHI | | c) NATURE OF EMPLOYER'S BUSINESS: | PROVIDING RELEVANT AND HIGH QUALITY EDUCATION AND PREPARE INDIVIDUALS FOR WORK, LEADERSHIP AND MEANINGFUL LIFE | | d) POSITION OF APPLICANT: | LECTURER | | e) DATE OF EMPLOYMENT: | 2023-06-16 |
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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: | 02900 | | b) SPONSOR'S FULL NAME: | SHEHU AUWALU SANI | | c) SPONSOR'S EMAIL ADDRESS: | AUWALUSANI2000@YAHOO.COM | | d) SPONSOR'S CONTACT ADDRESS: | DEPT. OF Q S A.T.B.U. BAUCHI, P. M. B 0248, BAUCHI | | e) SPONSOR'S MEMBERSHIP GRADE: | FELLOW | | f) SPONSOR'S RESGISTRATION DATE:: | 2024-11-26 |
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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: | BAUCHI
| | NAME: |
| | NIQS MEMBERSHIP NUMBER: |
| | DESIGNATION: |
| | PHONE NUMBER: |
| | DATE: |
| | EMAIL: |
| | SIGNATURE: |
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