| 1.0 PERSONAL DETAILS |
| NIQS MEMBERSHIP NUMBER: | P01582O | | SURNAME: | OMOLOLU | | OTHER NAMES: | REBECCA BOSEDE | | TITLE/GENDER: | MRS /FEMALE | | DATE OF BIRTH: | 1994-12-04 | | CHAPTER: | OYO | | PHONE NUMBER: | 08132340801, | | EMAIL ADDRESS: | akomolafedamilola04@gmail.com | | POSTAL ADDRESS: | RAY-OBI BUILDING, BEHIND BOLUWAJI STORES, EPO LAYOUT, ODO-OBA ROAD, BOLUWAJI IBADAN. P.O BOX 4769, DUGBE, IB | | CURRENT MEMBERSHIP GRADE: | PROBATIONER | | DATE OF REGISTRATION: | 2021-10-12 | | 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 | C5 | | MATHEMATICS | C4 | | PHYSICS | C5 | | ECONOMICS | C6 | | GEOGRAPHY | B3 |
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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 | NIGERIA | BSC IN QUANTITY SURVEYING | 2019-07-01 | | 2 | FEDERAL POLYTECHNIC ADO EKITI, EKITI STATE. | NIGERIA | OND IN QUANTITY SURVEYING | 2014-02-28 |
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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 | NILL | NILL | NILL | NILL |
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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 | TPC2/2025/02/120 | LAGOS | | LOGBOOK/DIARY STAGE 3 | FEBRUARY 2025 | | |
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| 7.0 PROFESSIONAL EXPERIENCE: |
| SN | EMPLOYER'S NAME AND ADDRESS | POSITION HELD & DATES | DUTIES | | 1 | MR OMOTOLA OLAIDE ADEBOWALE. | QUANTITY SURVEYOR (2025-01-06 - Date) | PREPARATION OF BILL OF QUANTITIES, VALUATION, PROCUREMENT | | 2 | NO 99, ADENIYI JONES, IKEJA, LAGOS STATE | QUANTITY SURVEYOR (2023-01-16 - 2024-12-20) | PREPARATION OF CONTRACT DOCUMENT AND VALUATION | | 3 | ENGR. TUNDE AYENI | PROJECT QUANTITY SURVEYOR (2022-01-03 - 2023-01-06) | PREPARATION OF BILL OF QUANTITIES, SITE SUPERVISION, PROCUREMENT OF CONSTRUCTION MATERIALS AND VALUATION |
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| 8.0 EMPLOYER DETAILS |
| a) NAME OF EMPLOYER: | MR OMOTOLA OLAIDE ADEBOWALE. | | b) EMPLOYER'S BUSINESS ADDRESS: | 46, ADEOYE ADEYEMI PEACE ESTATE, WASIMI MARYLAND, LAGOS. | | c) NATURE OF EMPLOYER'S BUSINESS: | ESTATE DEVELOPER | | d) POSITION OF APPLICANT: | QUANTITY SURVEYOR | | e) DATE OF EMPLOYMENT: | 2025-01-06 |
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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: | 01362 | | b) SPONSOR'S FULL NAME: | OBIWALE KAYODE AMOS | | c) SPONSOR'S EMAIL ADDRESS: | RAYOBI55@GMAIL.COM | | d) SPONSOR'S CONTACT ADDRESS: | G.P.O.BOX 4769 DUGBE IBADAN | | e) SPONSOR'S MEMBERSHIP GRADE: | FELLOW | | f) SPONSOR'S RESGISTRATION DATE:: | 1999-04-20 |
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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: | OYO | | NAME: |
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