| 1.0 PERSONAL DETAILS |
| NIQS MEMBERSHIP NUMBER: | P01667O | | SURNAME: | OMODARA | | OTHER NAMES: | AANUOLUWAPO MICHAEL ODUNAYO | | TITLE/GENDER: | MR./MALE | | DATE OF BIRTH: | 1993-01-22 | | CHAPTER: | LAGOS | | PHONE NUMBER: | 09039359131, | | EMAIL ADDRESS: | Omodaraaanuoluwapo@gmail.com | | POSTAL ADDRESS: | 6, TUTORS AVENUE, OREMEJI, IBAFO, OGUN STATE | | CURRENT MEMBERSHIP GRADE: | PROBATIONER | | DATE OF REGISTRATION: | 2022-11-17 | | 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 | C6 | | PHYSICS | B3 | | GEOGRAPHY | C5 | | ECONOMICS | C6 |
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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, LAGOS | NIGERIA | HND IN QUANTITY SURVEYING | 2018-02-16 | | 2 | FEDERAL POLYTECHNIC, ADO EKITI | NIGERIA | OND IN QUANTITY SURVEYING | 2015-01-13 |
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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 2024 | TPC2/2024/02/88 | LAGOS | | LOGBOOK/DIARY STAGE 3 | MARCH 2026 | | |
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| 7.0 PROFESSIONAL EXPERIENCE: |
| SN | EMPLOYER'S NAME AND ADDRESS | POSITION HELD & DATES | DUTIES | | 1 | STRABIC CONSTRUCTION LIMITED | QUANTITY SURVEYOR (2020-06-01 - Date) | VALUATION AND RATE BUILD UP |
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| 8.0 EMPLOYER DETAILS |
| a) NAME OF EMPLOYER: | STRABIC CONSTRUCTION LIMITED | | b) EMPLOYER'S BUSINESS ADDRESS: | NO 7.CIPM ROAD, ALAUSA , IKEJA | | c) NATURE OF EMPLOYER'S BUSINESS: | CONSTRUCTION | | d) POSITION OF APPLICANT: | QUANTITY SURVEYOR | | e) DATE OF EMPLOYMENT: | 2020-06-01 |
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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: | 02435 | | b) SPONSOR'S FULL NAME: | ADEOSUN TITILAYO ATINUKE | | c) SPONSOR'S EMAIL ADDRESS: | TITADEJ@YAHOO.COM | | d) SPONSOR'S CONTACT ADDRESS: | 7, TAJUDEEN ALADE STREET, IPAJA- AYOBO LAGOS | | 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
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| | NIQS MEMBERSHIP NUMBER: |
| | DESIGNATION: |
| | PHONE NUMBER: |
| | DATE: |
| | EMAIL: |
| | SIGNATURE: |
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PC23