| 1.0 PERSONAL DETAILS |
| NIQS MEMBERSHIP NUMBER: | P02117A | | SURNAME: | ANDY | | OTHER NAMES: | OGECHUKWU NWABUIKWU | | TITLE/GENDER: | MRS./FEMALE | | DATE OF BIRTH: | 1985-01-01 | | CHAPTER: | ANAMBRA | | PHONE NUMBER: | 07033057430, | | EMAIL ADDRESS: | ogechukwuandy@gmail.com | | POSTAL ADDRESS: | DEPT. OF QUANTITY SURVEYING, FEDERAL POLY. OKO ANAMBRA 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: |
| ABUJA |
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| 3.0 O' LEVEL SUBJECTS RESULT (5 CREDITS FROM WAEC/NECO/NABTEB): |
| SUBJECTS | GRADE | | ENGLISH | C5 | | MATHEMATICS | B3 | | PHYSICS | B3 | | CHEMISTRY | C6 | | ECONOMICS | C5 | | ECONOMICS | C5 |
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| 4.0 EDUCATION: |
| SN | UNIVERSITY/INSTITUTION | COUNTRY | DEGREE/DIPLOMA NAME
(eg. B.Tech Quantity Surveying) | DATE COMPLETED | | 1 | KADUNA POLYTECHNIC, KADUNA, KADUNA STATE | NIGERIA | ND IN QUANTITY SURVEYING | 2009-12-12 | | 2 | KADUNA POLYTECHNIC | NIGERIA | HND IN QUANTITY SURVEYING | 2014-11-11 | | 3 | | NIGERIA | HND IN QUANTITY SURVEYING | 0004-02-01 | | 4 | KADUNA POLYTECHNIC | NIGERIA | HND IN QUANTITY SURVEYING | 0004-02-01 | | 5 | KADUNA POLYTECHNIC | NIGERIA | HND IN QUANTITY SURVEYING | 2014-11-11 | | 6 | KADUNA POLYTECHNIC | NIGERIA | HND IN QUANTITY SURVEYING | 2013-11-11 |
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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 | SEPTEMBER 2025 | TPC 2/2025/03/R/149 | PORT HARCOURT | | 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 | FEDERAL POLYTECHNIC OKO, ANAMBRA STATE | TECHNOLOGIST (2019-08-07 - Date) | APPLYING TECHNICAL KNOWLEDGE AND SKILLS TO SUPPORT TEACHING, RESEARCH AND PRACTICAL TRAINING AND OPERATIONS OF EQUIPMENT INCLUDING MAINTAINING AND OPERATIONS OF EQUIPMENT. | | 2 | GOVERNMENT SECONDARY SCHOOL GONIN GORA KADUNA, KADUNA STATE | TEACHER (2015-03-02 - 2016-02-23) | TEACHING SENIOR CLASS ON PHYSICS | | 3 | KADUNA REFINERY AND PETROCHEMICAL CO.LTD | INDUSTRIAL TRAINING (2009-12-01 - 2010-12-20) | ADMINISTRATIVE DUTIES | | 4 | NEW COMPLEX NIG LTD KADUNA, KADUNA STATE | STUDENT ON TRAINING (2007-05-01 - 2007-08-31) | TAKING PROPER NOTES OF MATERIALS BROUGHT TO SITE AND OFFICE ADMINISTRATIVE DUTIES |
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| 8.0 EMPLOYER DETAILS |
| a) NAME OF EMPLOYER: | FEDERAL POLYTECHNIC OKO, ANAMBRA STATE | | b) EMPLOYER'S BUSINESS ADDRESS: | OKO, ANAMBRA STATE | | c) NATURE OF EMPLOYER'S BUSINESS: | ACADEMIC | | d) POSITION OF APPLICANT: | TECHNOLOGIST | | e) DATE OF EMPLOYMENT: | 2019-08-07 |
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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: | 02332 | | b) SPONSOR'S FULL NAME: | EMOH FRANCIS CHINEDU | | c) SPONSOR'S EMAIL ADDRESS: | EMOLISTICENTITY@GMAIL.COM | | d) SPONSOR'S CONTACT ADDRESS: | DEPT OF QTY SURVEYING FEDERAL POLYTECHNIC, OKO ORUMBA NORTH LOCAL GOVT ANAMBRA STATE | | e) SPONSOR'S MEMBERSHIP GRADE: | FELLOW | | f) SPONSOR'S RESGISTRATION DATE:: | 2019-11-18 |
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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: | ANAMBRA
| | NAME: |
| | NIQS MEMBERSHIP NUMBER: |
| | DESIGNATION: |
| | PHONE NUMBER: |
| | DATE: |
| | EMAIL: |
| | SIGNATURE: |
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