| 1.0 PERSONAL DETAILS |
| NIQS MEMBERSHIP NUMBER: | P00506S | | SURNAME: | SANUSI | | OTHER NAMES: | AKEEM OLALEKAN | | TITLE/GENDER: | MR./MALE | | DATE OF BIRTH: | 1991-10-27 | | CHAPTER: | ABUJA | | PHONE NUMBER: | 08132382506, | | EMAIL ADDRESS: | sanusiakeem2019@gmail.com | | POSTAL ADDRESS: | NIGERIA CUSTOMS HEADQUARTERS, WUSE, ZONE 3, ABUJA | | 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 | C5 | | PHYSICS | C6 | | ECONOMICS | C5 | | CHEMISTRY | C6 |
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| 4.0 EDUCATION: |
| SN | UNIVERSITY/INSTITUTION | COUNTRY | DEGREE/DIPLOMA NAME
(eg. B.Tech Quantity Surveying) | DATE COMPLETED | | 1 | OBAFEMI AWOLOWO UNIVERSITY, ILE-IFE | NIGERIA | BSC IN QUANTITY SURVEYING | 2016-12-07 |
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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 | SEPTEMBER 2025 | PC2/2025/01/59 | 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 | CRANEBURG CONSTRUCTION | QUANTITY SURVEYOR ON CONSTRUCTION OF GOVERNOS LODGE, AKURE (2021-07-06 - 2021-12-31) | BILL PREPARATION, SITE ASSESSMENT, CLAIM ON SUBMISSION ETC |
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| 8.0 EMPLOYER DETAILS |
| a) NAME OF EMPLOYER: | NIGERIA CUSTOMS SERVICE HEADQUARTERS | | b) EMPLOYER'S BUSINESS ADDRESS: | 2, LAKE TAAL CLOSE, MAITAMA, ABUJA | | c) NATURE OF EMPLOYER'S BUSINESS: | BOARDER SECURITY, TRADE FACILITATION AND REVENUE GENERATING AGENCY | | d) POSITION OF APPLICANT: | QUANTITY SURVEYOR IN CHARGE OF ZONE A WORKS | | e) DATE OF EMPLOYMENT: | 2021-09-14 |
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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: | 02857 | | b) SPONSOR'S FULL NAME: | INUWA NURUDDEEN MOHAMMED | | c) SPONSOR'S EMAIL ADDRESS: | INUWANURUDDEEN@YAHOO.COM | | d) SPONSOR'S CONTACT ADDRESS: | NIGERIA CUSTOMS SERVICE HEADQUARTERS, NO: 2 LAKE TAAL CLOSE MAITAMA, ABUJA, PROCUREMENT UNIT, ABUJA. | | 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: | ABUJA
| | NAME: |
| | NIQS MEMBERSHIP NUMBER: |
| | DESIGNATION: |
| | PHONE NUMBER: |
| | DATE: |
| | EMAIL: |
| | SIGNATURE: |
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PC86