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Application For Membership Upgrade (Student) : Title: Other Names: Postal Address

The document appears to be an application form for upgrading student membership to the Nigerian Institute of Quantity Surveyors. It requests information such as the applicant's name, address, qualifications, declarations, and requires a reference from a Head of Department or employer. The form also outlines the application process and sections for secretariat use tracking the application status.

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jmarkunongo_69397286
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62 views2 pages

Application For Membership Upgrade (Student) : Title: Other Names: Postal Address

The document appears to be an application form for upgrading student membership to the Nigerian Institute of Quantity Surveyors. It requests information such as the applicant's name, address, qualifications, declarations, and requires a reference from a Head of Department or employer. The form also outlines the application process and sections for secretariat use tracking the application status.

Uploaded by

jmarkunongo_69397286
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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The Nigerian Institute of Quantity Surveyors

No 84, 4th Avenue (Sa'adu Zungur Avenue) Gwarinpa ‐ Abuja Nigeria.


P. O. Box 10689 Garki, Abuja. 08028303346, 09‐7808307
Liasion Office: "Victor Akan House" 17/19 Idowu Taylor Street, Victoria Island, P.O. Box 2666 Marina Lagos 01‐8988099, 08137399669
[email protected], www.niqs.org.ng,

PASSPORT
APPLICATION FOR MEMBERSHIP UPGRADE PHOTOGRAPH
(STUDENT)
*All sections of this form must be duly completed in Block letters

TITLE:
1 SURNAME:
2 OTHER NAMES:

3 POSTAL ADDRESS

4 RESIDENTIAL ADDRESS

6. TEL NO:
5 E‐MAIL ADDRESS:
8. NATIONALITY
7 DATE OF BIRTH

10 QUALIFICATIONS:

A. ACADEMIC (Submit Copies of Certificates)


EXAMINATION PASSED
INSTITUTION

B. 'O' LEVEL SUBJECTS (WAEC/NECO/SSCE/NABTEB)


GRADE GRADE GRADE
SUBJECTS SUBJECTS SUBJECTS
(MANDATORY) (Any Two Minimum) GEOGRAPHY
CHEMISTRY TECHNICAL DRAWING
ENGLISH
MATHEMATICS FURTHER MATHS BIOLOGY
PHYSICS ECONOMICS
COMMERCE
11 DECLARATION

I, PLEDGE TO CONDUCT MYSELF


STRICTLY IN COMPLIANCE WITH THE RULES OF CONDUCT AND TO ABIDE BY THE LAWS OF THE
NIGERIAN INSTITUTE OF QUANTITY SURVEYORS AND AS MAY BE AMENDED THEREAFTER.

SIGNATURE DATE

12. REFEREES: NOTE * HEAD OF DEPARTMENT/EMPLOYER


* HOD MUST SIGHT THE ORIGINAL CERTIFICATES BEFORE ATTESTATION

NAME (IN FULL):

MEMBERSHIP GRADE: MEMBERSHIP NO:

TEL NO(S) E‐MAIL


SIGNATURE: DATE:
HOD OFFICIAL STAMP

FOR SECRETARIAT USE ONLY

DATE INITIALS
1 APPLICATION FORM RECEIVED

2 APPLICATION FORM ACKNOWLEDGED

3 APPLICATION FORM PASSED TO MEMBERSHIP CTTEE

4 RECOMMENDATION TO THE EXECUTIVE COUNCIL


5 APPROVAL BY EXECUTIVE COUNCIL
6 NOTIFICATIONOF APPROVAL
7 ENROLMENT FEE RECEIVED
8 MEMBERSHIP NUMBER
9 PUBLISHED IN "THE QUANTITY SURVEYORS"

MEMBERSHIP COMMITTEE : APPROVED NOT APPROVED

COMMENT:

CHAIRMAN‐ MEMBERSHIP COMMITTEE SECRETARY‐ MEMBERSHIP COMMITTEE

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