| 1.0 PERSONAL DETAILS |
| NIQS MEMBERSHIP NUMBER: | P01691O | | SURNAME: | OLANREWAJU | | OTHER NAMES: | DAVID MUYIWA | | TITLE/GENDER: | MR./M | | DATE OF BIRTH: | 1996-03-06 | | CHAPTER: | LAGOS | | PHONE NUMBER: | 08103142558, | | EMAIL ADDRESS: | olaolumuyiwa21@gmail.com | | POSTAL ADDRESS: | 2 COCOSHEEN STREET OFF ALADE ALLEN AVENUE, IKEJA, LAGOS | | CURRENT MEMBERSHIP GRADE: | PROBATIONER | | DATE OF REGISTRATION: | 2023-03-24 | | 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 | B3 | | PHYSICS | C6 | | ECONOMICS | C5 | | CHEMISTRY | A1 |
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| 4.0 EDUCATION: |
| SN | UNIVERSITY/INSTITUTION | COUNTRY | DEGREE/DIPLOMA NAME (eg. B.Tech Quantity Surveying) | DATE COMPLETED | | 1 | YABA COLLEGE OF TECHNOLOGY | NIGERIA | HND IN QUANTITY SURVEYING | 2023-04-22 |
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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 | | 1 | WORLD INTELLECTUAL PROPERTY ORGANIZATION (WIPO) | 2 | EXAMINATION | 2024 |
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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 | APRIL 2025 | TPC/2025/01/39 | 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 | JOZSA PRECISION CONSULTANTS | QUANTITY SURVEYOR/PROJECT MANAGER (2021-07-21 - Date) | PROJECT MANAGEMENT, PRODUCTION COST AND QUALITY CONTROL, VALUATION, BUDGETING, MEASUREMENTS OF WORK ONSITE E.T.C |
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| 8.0 EMPLOYER DETAILS |
| a) NAME OF EMPLOYER: | QS GOODMAN ETIWO | | b) EMPLOYER'S BUSINESS ADDRESS: | 22 OSHODI GBAGADA EXPRESSWAY CLOSE TO GBAGADA GENERAL HOSPITAL | | c) NATURE OF EMPLOYER'S BUSINESS: | QUANTITY SURVEYING | | d) POSITION OF APPLICANT: | QUANTITY SURVEYOR/PROJECT MANAGER | | e) DATE OF EMPLOYMENT: | 2021-08-23 |
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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: | 02633 | | b) SPONSOR'S FULL NAME: | ZEMO ALEXANDER MASHA | | c) SPONSOR'S EMAIL ADDRESS: | ALMASHZEMO@GMAIL.COM | | d) SPONSOR'S CONTACT ADDRESS: | BLOCK 6, FLAT 1, AGBOR CLOSE F C D A HOUSING ESTATE OFF EMEKA ANYAOKU GARKI 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: | LAGOS | | NAME: |
| | NIQS MEMBERSHIP NUMBER: |
| | DESIGNATION: |
| | PHONE NUMBER: |
| | DATE: |
| | EMAIL: |
| | SIGNATURE: |
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