| 1.0 PERSONAL DETAILS |
| NIQS MEMBERSHIP NUMBER: | P02068A | | SURNAME: | AYENI | | OTHER NAMES: | ISRAEL SUNDAY | | TITLE/GENDER: | MR./MALE | | DATE OF BIRTH: | 1988-10-23 | | CHAPTER: | ONDO | | PHONE NUMBER: | 07030949630, | | EMAIL ADDRESS: | unchangingone2@gmail.com | | POSTAL ADDRESS: | 3RD FLOOR RICABIM HOUSE, 47, OBA ADESIDA STREET, AKURE, ONDO STATE | | CURRENT MEMBERSHIP GRADE: | PROBATIONER | | DATE OF REGISTRATION: | 2022-03-17 | | 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 | C5 | | PHYSICS | C6 | | BIOLOGY | C5 | | GEOGRAPHY | B3 |
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| 4.0 EDUCATION: |
| SN | UNIVERSITY/INSTITUTION | COUNTRY | DEGREE/DIPLOMA NAME
(eg. B.Tech Quantity Surveying) | DATE COMPLETED | | 1 | THE FEDERAL POLYTECNIC, ADO-EKITI | NIGERIA | HND IN QUANTITY SURVEYING | 2017-01-01 | | 2 | FEDERAL UNIVERSITY OF TECHNOLOGY AKURE | NIGERIA | PGD IN QUANTITY SURVEYING | 2024-08-01 |
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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/2025/02/54 | AKURE | | 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 | RICABIM NIGERIA LIMITED | QUANTITY SURVEYOR (2021-09-02 - Date) | ALL QUANTITY SURVEYORS DUTIES |
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| 8.0 EMPLOYER DETAILS |
| a) NAME OF EMPLOYER: | BIMBO OGUNDIPE, RICABIM NIGERIA LIMITED | | b) EMPLOYER'S BUSINESS ADDRESS: | THIRD FLOOR, RICABIM HOUSE, 47 OBA ADESIDA, AKURE. | | c) NATURE OF EMPLOYER'S BUSINESS: | CONSTRUCTION CONTRACTOR | | d) POSITION OF APPLICANT: | MD/CEO | | e) DATE OF EMPLOYMENT: | 2021-09-02 |
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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: | 00785 | | b) SPONSOR'S FULL NAME: | OYELOLA OYETUNDE | | c) SPONSOR'S EMAIL ADDRESS: | SOYETUNDE2005@YAHOO.COM | | d) SPONSOR'S CONTACT ADDRESS: | DIRECTORATE OF PHYSICAL PLANNING FEDERAL POLYTECHNIC, ILE OLUJI | | e) SPONSOR'S MEMBERSHIP GRADE: | FELLOW | | f) SPONSOR'S RESGISTRATION DATE:: | 2021-11-16 |
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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: | ONDO
| | NAME: |
| | NIQS MEMBERSHIP NUMBER: |
| | DESIGNATION: |
| | PHONE NUMBER: |
| | DATE: |
| | EMAIL: |
| | SIGNATURE: |
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PC39