| 1.0 PERSONAL DETAILS |
| NIQS MEMBERSHIP NUMBER: | P00237N | | SURNAME: | NNOCHIRI | | OTHER NAMES: | ANDREW UKACHUKWU | | TITLE/GENDER: | MR./MALE | | DATE OF BIRTH: | 1987-11-22 | | CHAPTER: | EDO | | PHONE NUMBER: | 08038098689, | | EMAIL ADDRESS: | anuksy22@gmail.com | | POSTAL ADDRESS: | 48, ORDINANCE ROAD, TRANS-AMADI, PORT HARCOURT, RIVER STATE | | CURRENT MEMBERSHIP GRADE: | PROBATIONER | | DATE OF REGISTRATION: | 2023-02-07 | | 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 | C4 | | CHEMISTRY | C6 | | BIOLOGY | C5 |
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| 4.0 EDUCATION: |
| SN | UNIVERSITY/INSTITUTION | COUNTRY | DEGREE/DIPLOMA NAME (eg. B.Tech Quantity Surveying) | DATE COMPLETED | | 1 | FEDERAL POLYTECHNIC NEKEDE, OWERRI, IMO STATE | NIGERIA | HND IN QUANTITY SURVEYING | 2009-07-19 | | 2 | FEDERAL POLYTECHNIC NEKEDE, OWERRI, IMO STATE | NIGERIA | OND IN QUANTITY SURVEYING | 2006-03-19 |
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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/2025/02/58 | 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 | LAMBERT ELECTROMEC LIMITED | PROJECT QUANTITY SURVEYOR (2022-03-22 - Date) | MEASUREMENT OF ELECTRICAL AND MECHANICAL WORKS. PREPARATION OF CONTRACT DOCUMENT. PREPARATION OF INTERIM VALUATION. PREPARATION OF SCHEDULE OF MATERIALS. PREPARATION AND ADMINISTRATION OF SUBCONTRACTOR PAYMENT VOUCHER, E.T.C | | 2 | ARBICO PLC | PROJECT QUANTITY SURVEYOR (2018-03-05 - 2020-10-30) | MEASUREMENT OF CIVIL WORKS. PREPARATION OF CONTRACT DOCUMENT. PREPARATION OF INTERIM VALUATION. PREPARATION OF SCHEDULE OF MATERIALS. PREPARATION AND ADMINISTRATION OF SUBCONTRACTOR PAYMENT VOUCHER, E.T.C |
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| 8.0 EMPLOYER DETAILS |
| a) NAME OF EMPLOYER: | LAMBERT ELECTROMEC LIMITED | | b) EMPLOYER'S BUSINESS ADDRESS: | 1682, SANUSI FAFUNWA STREET, VICTORIA ISLAND, LAGOS | | c) NATURE OF EMPLOYER'S BUSINESS: | MECHANICAL AND ELECTRICAL SERVICES | | d) POSITION OF APPLICANT: | PROJECT QUANTITY SURVEYOR | | e) DATE OF EMPLOYMENT: | 2022-03-22 |
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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: | 00949 | | b) SPONSOR'S FULL NAME: | UYINMWEN MONDAY MEYRICK | | c) SPONSOR'S EMAIL ADDRESS: | BOWENPARTNERSHIP@YAHOO.COM | | d) SPONSOR'S CONTACT ADDRESS: | BOWEN PARTNERSHIP 20, COOKE RD1ST FLOOR OFF AKPAKPAYA S TG.P.O.BOX 2392, BENIN CITY, EDO STATE | | e) SPONSOR'S MEMBERSHIP GRADE: | MEMBER | | f) SPONSOR'S RESGISTRATION DATE:: | 1992-10-20 |
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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: | EDO | | NAME: |
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