| 1.0 PERSONAL DETAILS |
| NIQS MEMBERSHIP NUMBER: | P00478I | | SURNAME: | IBEH | | OTHER NAMES: | UZOMA PATIENCE | | TITLE/GENDER: | MISS/FEMALE | | DATE OF BIRTH: | 1992-10-09 | | CHAPTER: | LAGOS | | PHONE NUMBER: | 08076044385, | | EMAIL ADDRESS: | uzomaibeh1@gmail.com | | POSTAL ADDRESS: | 32B, OGUNYALE STREET, ITA-OLUWO, IKORODU, LAGOS | | CURRENT MEMBERSHIP GRADE: | PROBATIONER | | DATE OF REGISTRATION: | 2021-02-12 | | 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 | C6 | | MATHEMATICS | C6 | | PHYSICS | C6 | | FURTHER MATHEMATICS | C6 | | 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 | NIGERIA | HND IN QUANTITY SURVEYING | 2017-03-21 |
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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 | MAY 2025 | TPC/2025/07/153 | 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 | DU-FRANC & PARTNERS LIMITED | QUANTITY SURVEYOR (2024-10-02 - Date) | PREPARING BILLS OF QUANTITIES, TENDER DOCUMENTS AND EVALUATING SUBMITTED BIDS FOR ACCURACY, RATE CONSISTENCY AND TENDER COMPLIANCE, PREPARING INTERIM VALUATIONS, CLAIMS, AND FINAL ACCOUNT | | 2 | RAINBOWCORE RESOURCES LIMITED | QUANTITY SURVEYOR (2023-01-01 - 2024-09-15) | PREPARING/PRICING BILLS OF QUANTITIES AND QUOTATIONS, PREPARATION OF PROGRAM OF WORKS, SCHEDULES AND WORKSHOP DRAWINGS, VENDOR SOURCING AND MANAGEMENT, ASSIST IN PROCUREMENT, HSE AND PROJECT MANAGEMENT. | | 3 | AKLAB INTERNATIONAL LIMITED | QUANTITY SURVEYOR (2019-05-02 - 2023-03-09) | PREPARING/PRICING BILLS OF QUANTITIES AND QUOTATIONS, PREPARATION OF PROGRAM OF WORKS, SCHEDULES AND WORKSHOP DRAWINGS, VENDOR SOURCING AND MANAGEMENT, ASSIST IN PROCUREMENT, HSE AND PROJECT MANAGEMENT. |
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| 8.0 EMPLOYER DETAILS |
| a) NAME OF EMPLOYER: | DU-FRANC & PARTNERS LIMITED | | b) EMPLOYER'S BUSINESS ADDRESS: | 3RD FLOOR, LAR HOUSE, 179, IGBOSERE ROAD, LAGOS ISLAND. | | c) NATURE OF EMPLOYER'S BUSINESS: | QUANTITY SURVEYING & PROJECT MANAGEMENT CONSULTANCY | | d) POSITION OF APPLICANT: | QUANTITY SURVEYOR | | e) DATE OF EMPLOYMENT: | 2024-10-02 |
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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: | 01861 | | b) SPONSOR'S FULL NAME: | AYANBOADE TIRIMISIYU AYANSANMI TAIWO | | c) SPONSOR'S EMAIL ADDRESS: | TAIAYANBOADE@GMAIL.COM | | d) SPONSOR'S CONTACT ADDRESS: | 11 LANRE ADEYEMI STR OKE-AGBE ESTATE OJODU P.O.BOX 17027 IKEJA LAGOS | | e) SPONSOR'S MEMBERSHIP GRADE: | FELLOW | | f) SPONSOR'S RESGISTRATION DATE:: | 2022-11-17 |
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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: |
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| | SIGNATURE: |
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