| 1.0 PERSONAL DETAILS |
| NIQS MEMBERSHIP NUMBER: | P00460S | | SURNAME: | SALEH | | OTHER NAMES: | ABDULAZEEZ | | TITLE/GENDER: | MR./MALE | | DATE OF BIRTH: | 1996-11-01 | | CHAPTER: | KANO | | PHONE NUMBER: | 08125210780, | | EMAIL ADDRESS: | abdulazeezsaleh96@gmail.com | | POSTAL ADDRESS: | AB 167, SHEHU KAZAURE ROAD, HOTORO GRA, KANO | | CURRENT MEMBERSHIP GRADE: | PROBATIONER | | DATE OF REGISTRATION: | 2021-10-12 | | 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 | A1 | | PHYSICS | B3 | | CHEMISTRY | A1 | | ECONOMICS | C5 |
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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 | 2020-02-19 |
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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 2024 | TPC/2024/06/153 | KANO | | 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 | UYK HOLDINGS | CONTRACT ADMINISTRATOR (2025-02-28 - Date) | QUANTITY SURVEYOR, PROCUREMENT AND LOGISTICS | | 2 | PEE CEE ESS PROJECTS LTD | QUANTITY SURVEYOR (2021-01-11 - 2024-02-20) | QUANTITY SURVEYOR, PROCUREMENT, SITE MANAGER |
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| 8.0 EMPLOYER DETAILS |
| a) NAME OF EMPLOYER: | UYK HOLDINGS | | b) EMPLOYER'S BUSINESS ADDRESS: | NO.1B UNGOGGO ROAD, BOMPAI, NASARAWA LGA, KANO | | c) NATURE OF EMPLOYER'S BUSINESS: | CONSTRUCTION | | d) POSITION OF APPLICANT: | CONTRACT ADMINISTRATOR | | e) DATE OF EMPLOYMENT: | 2024-02-28 |
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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: | 03118 | | b) SPONSOR'S FULL NAME: | UMAR SHUAIB KAZAURE | | c) SPONSOR'S EMAIL ADDRESS: | QSSHUAIBUKAZAURE@GMAIL.COM | | d) SPONSOR'S CONTACT ADDRESS: | MULTISYSTEM CONSULTANTS, 8, WUDIL ROAD, KANO STATE. | | 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: | KANO
| | NAME: |
| | NIQS MEMBERSHIP NUMBER: |
| | DESIGNATION: |
| | PHONE NUMBER: |
| | DATE: |
| | EMAIL: |
| | SIGNATURE: |
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PC71