| 1.0 PERSONAL DETAILS |
| NIQS MEMBERSHIP NUMBER: | P02050A | | SURNAME: | ALIYU | | OTHER NAMES: | ISAH NDANUSA | | TITLE/GENDER: | MR./MALE | | DATE OF BIRTH: | 1989-07-21 | | CHAPTER: | ABUJA | | PHONE NUMBER: | 08066877944, | | EMAIL ADDRESS: | Isahaliyu0111@yahoo.com | | POSTAL ADDRESS: | KARMO LAST GATE, BY MASALACI ALHAJI AFTER TRANSFORMER IDU GBAGYI, KARMO, ABUJA | | CURRENT MEMBERSHIP GRADE: | PROBATIONER | | DATE OF REGISTRATION: | 2022-02-21 | | 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 | C6 | | ECONOMICS | B3 |
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| 4.0 EDUCATION: |
| SN | UNIVERSITY/INSTITUTION | COUNTRY | DEGREE/DIPLOMA NAME (eg. B.Tech Quantity Surveying) | DATE COMPLETED | | 1 | THE FEDERAL POLYTECHNIC BIDA NIGER STATE | NIGERIA | HND IN QUANTITY SURVEYING | 2016-09-16 |
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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/2025/01/10 | 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 | DABS UNITED TECHNOLOGY LTD | ASSISTANT QUANTITY SURVEYOR (2019-04-29 - 2021-01-29) | ASSIST IN SUPERVISION OF DAY TO DAY WORK ON SITE | | 2 | KAMA INTEGRATED SERVICE LIMITED | SITE SUPERVISOR (2022-02-14 - 2025-12-19) | SUPERVISION OF DATE TO DAY ACTIVITIES ON SITE | | 3 | FEDERAL CAPITAL TERRITORY, HIGH COURT OF JUSTICE | HIGHER TECHNICAL OFFICER (QS) (2026-01-02 - Date) | ASSIST IN SUPERVISION OF MAINTENANCE WORK |
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| 8.0 EMPLOYER DETAILS |
| a) NAME OF EMPLOYER: | FEDERAL CAPITAL TERRITORY, HIGH COURT OF JUSTICE | | b) EMPLOYER'S BUSINESS ADDRESS: | MAITAMA ABUJA | | c) NATURE OF EMPLOYER'S BUSINESS: | JUDICIARY | | d) POSITION OF APPLICANT: | HIGHER TECHNICAL OFFICER (QS) | | e) DATE OF EMPLOYMENT: | 2026-01-02 |
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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: | 01501 | | b) SPONSOR'S FULL NAME: | SHAIBU ABU ATTAI | | c) SPONSOR'S EMAIL ADDRESS: | ABUHSHATT@YAHOO.COM | | d) SPONSOR'S CONTACT ADDRESS: | CACHEZ TURKEY PROJECTS P.O.BOX 7912 WUSE ABUJA ABUJA | | e) SPONSOR'S MEMBERSHIP GRADE: | FELLOW | | f) SPONSOR'S RESGISTRATION DATE:: | 2019-11-18 |
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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: | ABUJA | | NAME: |
| | NIQS MEMBERSHIP NUMBER: |
| | DESIGNATION: |
| | PHONE NUMBER: |
| | DATE: |
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