| 1.0 PERSONAL DETAILS |
| NIQS MEMBERSHIP NUMBER: | P02109A | | SURNAME: | AKINNAWONU | | OTHER NAMES: | SEMILORE HENRY | | TITLE/GENDER: | MR./M | | DATE OF BIRTH: | 0000-00-00 | | CHAPTER: | LAGOS | | PHONE NUMBER: | 08100739433, | | EMAIL ADDRESS: | akinnawonus1@gmail.com | | POSTAL ADDRESS: | N0 16 ASSOCIATION CLOSE OGUDU KOSOFE L G.A. LAGOS STATE | | CURRENT MEMBERSHIP GRADE: | PROBATIONER | | DATE OF REGISTRATION: | 2022-08-23 | | 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 | C5 | | CHEMISTRY | C6 | | GEOGRAPHY | B3 |
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| 4.0 EDUCATION: |
| SN | UNIVERSITY/INSTITUTION | COUNTRY | DEGREE/DIPLOMA NAME (eg. B.Tech Quantity Surveying) | DATE COMPLETED | | 1 | BELL UNIVERSITY OF TECHNOLOGY | NIGERIA | B.TECH IN QUANTITY SURVEYING | 2025-06-29 |
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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/2025/07/143 | 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 | BUILDRUS LIMITED | PROJECT MANAGER (2023-02-06 - Date) | COST PLANNING & FINANCIAL MANAGEMENT,PROJECT PLANNING & COORDINATION,PROCUREMENT & CONTRACT ADMINISTRATION,SITE & CONSTRUCTION MANAGEMENT,RISK MANAGEMENT | | 2 | ARCHITECTURAL MINDS AND EXPRESSION LIMITED | QUANTITY SURVEYOR (2020-01-07 - 2023-02-04) | COST CONTROL, BILL OF QUANTITIES (BOQ) PREPARATION,TENDERING AND PROCUREMENT, CONTRACT ADMINISTRATION, VALUATION AND FINAL ACCOUNT PREPARATION |
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| 8.0 EMPLOYER DETAILS |
| a) NAME OF EMPLOYER: | LANRE SMITH | | b) EMPLOYER'S BUSINESS ADDRESS: | 4B, CHIEF AUGUSTINE ANOZIE STREET, LEKKI PHASE 1 LAGOS | | c) NATURE OF EMPLOYER'S BUSINESS: | CONSTRUCTION | | d) POSITION OF APPLICANT: | PROJECT MANAGER | | e) DATE OF EMPLOYMENT: | 2023-02-06 |
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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: | 00671 | | b) SPONSOR'S FULL NAME: | FAMILOYE OLAJIDE STEPHEN | | c) SPONSOR'S EMAIL ADDRESS: | JIDEFAMILOYE@YAHOO.COM | | d) SPONSOR'S CONTACT ADDRESS: | P.O.BOX 7560 SHOMOLU 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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