| 1.0 PERSONAL DETAILS |
| NIQS MEMBERSHIP NUMBER: | P02157A | | SURNAME: | ABDULSALAM | | OTHER NAMES: | LATEEFAT OLAIDE | | TITLE/GENDER: | MRS./FEMALE | | DATE OF BIRTH: | 1987-01-01 | | CHAPTER: | KWARA | | PHONE NUMBER: | 07032069464, | | EMAIL ADDRESS: | abdulsalamlateefat87@gmail.com | | POSTAL ADDRESS: | BOX 1028, OFFA, KWARA STATE | | CURRENT MEMBERSHIP GRADE: | PROBATIONER | | DATE OF REGISTRATION: | 2023-02-07 | | DIET: | MARCH, 2026 | | DISABILITY: | NO |
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| 2.0 PREFERRED INTERVIEW CENTRE: |
| LAGOS |
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| 3.0 O' LEVEL SUBJECTS RESULT (5 CREDITS FROM WAEC/NECO/NABTEB): |
| SUBJECTS | GRADE | | ENGLISH | C6 | | MATHEMATICS | C5 | | PHYSICS | C5 | | CHEMISTRY | C6 | | GEOGRAPHY | C6 |
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| 4.0 EDUCATION: |
| SN | UNIVERSITY/INSTITUTION | COUNTRY | DEGREE/DIPLOMA NAME
(eg. B.Tech Quantity Surveying) | DATE COMPLETED | | 1 | KWARA STATE POLYTECHNIC, ILORIN KWARA STATE | NIGERIA | HND IN QUANTITY SURVEYING | 2012-08-31 | | 2 | KWARA STATE POLYTECHNIC, ILORIN KWARA STATE | NIGERIA | ND IN QUANTITY SURVEYING | 2009-11-04 |
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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/2025/07/136 | LAGOS | | 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 | MATOKZ INFRASTRUCTURE NIGERIA LIMITED | QUANTITY SURVEYING (2019-01-07 - Date) | PREPARED BILL OF QUANTITIES, BUYING TENDERS, ATTENDING TENDER OPENING AND SITE SUPPERVISION |
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| 8.0 EMPLOYER DETAILS |
| a) NAME OF EMPLOYER: | MATOKZ INFRASTRUCTURE NIGERIA LIMITED | | b) EMPLOYER'S BUSINESS ADDRESS: | 1A,OFFA BY KANO ROAD,ADEWOLE ESTATE | | c) NATURE OF EMPLOYER'S BUSINESS: | CONSTRUCTION FIRM | | d) POSITION OF APPLICANT: | QUANTITY SURVEYING | | e) DATE OF EMPLOYMENT: | 2019-01-07 |
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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: | 02279 | | b) SPONSOR'S FULL NAME: | RASHEED ABDULKADIR SHEHU | | c) SPONSOR'S EMAIL ADDRESS: | PROVORTEXCONSULTANTS@GMAIL.COM | | d) SPONSOR'S CONTACT ADDRESS: | M4 OFFA ROAD, MANDATE III ESTATE, ILORIN, KWARA STATE | | 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: | KWARA
| | NAME: |
| | NIQS MEMBERSHIP NUMBER: |
| | DESIGNATION: |
| | PHONE NUMBER: |
| | DATE: |
| | EMAIL: |
| | SIGNATURE: |
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PC80