| 1.0 PERSONAL DETAILS |
| NIQS MEMBERSHIP NUMBER: | P00045W | | SURNAME: | WADAI | | OTHER NAMES: | DAUDA NDIRMBITA | | TITLE/GENDER: | MR./M | | DATE OF BIRTH: | 1985-10-20 | | CHAPTER: | BORNO | | PHONE NUMBER: | 07036083681, | | EMAIL ADDRESS: | wadaidauda@gmail.com | | POSTAL ADDRESS: | N0 3 AA KOTOKO OFFICE COMPLEX OPP. SCHOLARSHIP BOARD, MAIDUGURI, KANO/JOS ROAD | | CURRENT MEMBERSHIP GRADE: | PROBATIONER | | DATE OF REGISTRATION: | 2022-10-07 | | 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 | C4 | | MATHEMATICS | C5 | | PHYSICS | C5 | | CHEMISTRY | C6 | | GEOGRAPHY | B3 |
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| 4.0 EDUCATION: |
| SN | UNIVERSITY/INSTITUTION | COUNTRY | DEGREE/DIPLOMA NAME
(eg. B.Tech Quantity Surveying) | DATE COMPLETED | | 1 | FEDERAL POLYTECHNIC BAUCHI | NIGERIA | HND IN QUANTITY SURVEYING | 2013-01-10 |
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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/2025/04/96 | 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 | JADU & PARTNERS NO:3 A.A KOTOKO OFFICE COMPLEX KANO/JOS ROAD OPPOSITE BORNO STATE SCHOLARSHIP BOARD, MAIDUGURI | QUANTITY SURVEYOR (2020-01-01 - Date) | QUANTITY SURVEYING |
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| 8.0 EMPLOYER DETAILS |
| a) NAME OF EMPLOYER: | JADU & PARTNERS | | b) EMPLOYER'S BUSINESS ADDRESS: | NO:3 A.A KOTOKO OFFICE COMPLEX KANO/JOS ROAD OPPOSITE BORNO STATE SCHOLARSHIP BOARD, MAIDUGURI | | c) NATURE OF EMPLOYER'S BUSINESS: | QUANTITY SURVEYORS CONSULTANT FIRM | | d) POSITION OF APPLICANT: | QUANTITY SURVEYOR | | e) DATE OF EMPLOYMENT: | 2020-10-01 |
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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: | 01547 | | b) SPONSOR'S FULL NAME: | SUMAYIN ZANNA | | c) SPONSOR'S EMAIL ADDRESS: | ZANNAKYARIMASUYE@YAHOO.COM | | d) SPONSOR'S CONTACT ADDRESS: | M-GROUP ASSOCIATES 16, CIRCULAR ROAD OLD GRA P.O.BOX 1211, MAIDUGURI | | e) SPONSOR'S MEMBERSHIP GRADE: | FELLOW | | f) SPONSOR'S RESGISTRATION DATE:: | 2025-11-13 |
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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: | BORNO
| | NAME: |
| | NIQS MEMBERSHIP NUMBER: |
| | DESIGNATION: |
| | PHONE NUMBER: |
| | DATE: |
| | EMAIL: |
| | SIGNATURE: |
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PC58