| 1.0 PERSONAL DETAILS |
| NIQS MEMBERSHIP NUMBER: | P02206A | | SURNAME: | ALIYU | | OTHER NAMES: | MOHAMMED | | TITLE/GENDER: | MR./MALE | | DATE OF BIRTH: | 1997-02-02 | | CHAPTER: | ABUJA | | PHONE NUMBER: | 08144032255, | | EMAIL ADDRESS: | maliyu2015@gmail.com | | POSTAL ADDRESS: | SPS 565 APO, MECHANIC VILLAGE, FCT | | CURRENT MEMBERSHIP GRADE: | PROBATIONER | | DATE OF REGISTRATION: | 2023-07-05 | | 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 | C6 | | PHYSICS | C6 | | GEOGRAPHY | C6 | | CHEMISTRY | C6 |
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| 4.0 EDUCATION: |
| SN | UNIVERSITY/INSTITUTION | COUNTRY | DEGREE/DIPLOMA NAME
(eg. B.Tech Quantity Surveying) | DATE COMPLETED | | 1 | FEDERAL UNIVERSITY OF TECHNOLOGY MINNA 2014-2021 | NIGERIA | B.TECH IN QUANTITY SURVEYING | 2021-09-29 |
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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/2025/01/11 | ABUJA | | LOGBOOK/DIARY STAGE 3 | MARCH 2026 | | |
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| 7.0 PROFESSIONAL EXPERIENCE: |
| SN | EMPLOYER'S NAME AND ADDRESS | POSITION HELD & DATES | DUTIES | | 1 | BOULEVARD LANE LTD/ NO. 12 KANO STREET, AREA1 ABUJA | HEAD QUANTITY SURVEYOR (2024-02-05 - 2026-03-04) | PRODUCTION OF BOQ, PROCUREMENT, TENDER ANALYSIS, VALUATION |
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| 8.0 EMPLOYER DETAILS |
| a) NAME OF EMPLOYER: | BOULEVARD LANE LIMITED | | b) EMPLOYER'S BUSINESS ADDRESS: | NO. 12 KANO STREET, AREA1 ABUJA | | c) NATURE OF EMPLOYER'S BUSINESS: | REAL ESTATE DEVELOPERS | | d) POSITION OF APPLICANT: | QUANTITY SURVEYOR | | e) DATE OF EMPLOYMENT: | 2024-02-05 |
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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: | 02343 | | b) SPONSOR'S FULL NAME: | IBRAHIM SULEIMAN LAPAI | | c) SPONSOR'S EMAIL ADDRESS: | QSSULEIMAN1@GMAIL.COM | | d) SPONSOR'S CONTACT ADDRESS: | URBAN SHELTER LTD SHIPPERS PLAZA WUSE ZN 5 P. O. BOX 6872 WUSE 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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PC72