| 1.0 PERSONAL DETAILS |
| NIQS MEMBERSHIP NUMBER: | P01834A | | SURNAME: | ALEGUNLEYE | | OTHER NAMES: | ADEGOKE MOSES | | TITLE/GENDER: | MR./MALE | | DATE OF BIRTH: | 1987-06-30 | | CHAPTER: | LAGOS | | PHONE NUMBER: | 08034046543, | | EMAIL ADDRESS: | adealeg87@yahoo.com | | POSTAL ADDRESS: | NO 49, KERUBU ESTATE, MOWO-KEKERE, IKORODU, LAGOS STATE | | CURRENT MEMBERSHIP GRADE: | PROBATIONER | | DATE OF REGISTRATION: | 2020-06-30 | | 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 | C6 | | PHYSICS | C5 | | CHEMISTRY | 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 | OSUN STATE COLLEGE OF TECHNOLOGY ESA-OKE | NIGERIA | OND IN QUANTITY SURVEYING | 2012-11-30 | | 2 | OSUN STATE COLLEGE OF TECHNOLOGY ESA-OKE | NIGERIA | HND IN QUANTITY SURVEYING | 2016-01-22 |
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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 |
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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/2025/07/146 | LAGOS STATE | | 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 | NAHMAN CONSTRUCTION | PROJECT QUANTITY SURVEYOR (2026-01-01 - Date) | PREPARED DETAILED MATERIAL QUANTITY TAKE-OFFS TO SUPPORT COST ESTIMATION AND BUDGETING FOR PROJECT EXECUTION. | | 2 | ARBICO PLC, PLOT D, BLOCK 7, INDUSTRIAL CRESCENT, ILUPEJU, LAGOS | PRE-CONTRACT QUANTITY SURVEYOR (2024-03-01 - 2025-12-31) | PREPARED DETAILED COST ESTIMATES, BUDGETS, AND TENDER DOCUMENTATION FOR CONSTRUCTION PROJECTS. | | 3 | TOLA DAHUNSI & CO., IKEJA, LAGOS | JUNIOR QUANTITY SURVEYOR (2021-01-01 - Date) | MEASURED AND EVALUATED COMPLETED WORKS ON SITE FOR VALUATION AND PAYMENT CERTIFICATION. |
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| 8.0 EMPLOYER DETAILS |
| a) NAME OF EMPLOYER: | TOLA DAHUNSI & CO., IKEJA, LAGOS | | b) EMPLOYER'S BUSINESS ADDRESS: | 6TH FLOOR, ELEPHANT CEMENT HOUSE, CBD, ALAUSA, , IKEJA., LAGOS. | | c) NATURE OF EMPLOYER'S BUSINESS: | PROFESSIONAL QUANTITY SURVEYOR | | d) POSITION OF APPLICANT: | QUANTITY SURVEYOR | | e) DATE OF EMPLOYMENT: | 2021-01-01 |
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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: | 01663 | | b) SPONSOR'S FULL NAME: | DAHUNSI OMOTOLA EZEKIEL | | c) SPONSOR'S EMAIL ADDRESS: | TOLA.DAHUNSI@YAHOO.COM | | d) SPONSOR'S CONTACT ADDRESS: | WORKS AND SERVICES DEPARTMENT, LAGOS STATE POLYTECHNIC, IKORODU, LAGOS | | e) SPONSOR'S MEMBERSHIP GRADE: | MEMBER | | f) SPONSOR'S RESGISTRATION DATE:: | 2004-07-13 |
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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: |
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| | PHONE NUMBER: |
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