| 1.0 PERSONAL DETAILS |
| NIQS MEMBERSHIP NUMBER: | P00347E | | SURNAME: | EGBEJIMI | | OTHER NAMES: | PAUL OLAYINKA | | TITLE/GENDER: | MR./MALE | | DATE OF BIRTH: | 1994-06-17 | | CHAPTER: | OGUN | | PHONE NUMBER: | 08140225488, | | EMAIL ADDRESS: | pobdam06@gmail.com | | POSTAL ADDRESS: | N0 5 SAIABIO ABIMBOLA AVE. ILERIAYO, GBONAGUN-OBANTOKO, ABEOKUTA | | CURRENT MEMBERSHIP GRADE: | PROBATIONER | | DATE OF REGISTRATION: | 2022-06-07 | | 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 | B3 | | MATHEMATICS | C6 | | PHYSICS | C6 | | CHEMISTRY | C6 | | ECONOMICS | B3 |
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| 4.0 EDUCATION: |
| SN | UNIVERSITY/INSTITUTION | COUNTRY | DEGREE/DIPLOMA NAME
(eg. B.Tech Quantity Surveying) | DATE COMPLETED | | 1 | THE POLYTECHNICS IBADAN | NIGERIA | HND IN QUANTITY SURVEYING | 2018-11-22 |
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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 | SEPTEMBER 2025 | TPC/2025/01/21 | LAGOS | | 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 MEDICAL CENTRE ABEOKUTA, OLABISI ONABANJO WAY, IDIABA ABEOKUTA, OGUN STATE | PROCUREMENT OFFICER (2020-07-20 - Date) | PREPARATION OF TAKE-OFFS AND BILLS OF QUANTITIES. TAKING PHYSICAL MEASUREMENTS OF WORKS DONE ON SITE. SITE SUPERVISION TO ENSURE CONFORMITY TO APPROVED DRAWINGS AND PROCUREMENT OF GOODS AND SERVICES. AND SPECIFICATIONS. PREPARATION OF PROGRESS REPORTS AND MATERIAL/LABOUR SCHEDULE. PROCUREMENT OF GOODS AND PREPARATION OF INTERIM VALUATIONS |
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| 8.0 EMPLOYER DETAILS |
| a) NAME OF EMPLOYER: | MR. OLATUNDE PAUL | | b) EMPLOYER'S BUSINESS ADDRESS: | FEDERAL MEDICAL CENTRE ABEOKUTA, OLABISI ONABANJO WAY, IDIABA ABEOKUTA, OGUN STATE | | c) NATURE OF EMPLOYER'S BUSINESS: | PUBLIC SERVICE | | d) POSITION OF APPLICANT: | PROCUREMENT OFFICER | | e) DATE OF EMPLOYMENT: | 2020-07-20 |
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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: | 04468 | | b) SPONSOR'S FULL NAME: | ADEOTI ABASS ALABI | | c) SPONSOR'S EMAIL ADDRESS: | ADEBASS2003@YAHOO.COM | | d) SPONSOR'S CONTACT ADDRESS: | C/O BIOJACOB ASSOCIATE, 186B, IKORODU ROAD, ONIPANU, LAGOS, LAGOS STATE. | | e) SPONSOR'S MEMBERSHIP GRADE: | MEMBER | | 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: | OGUN
| | NAME: |
| | NIQS MEMBERSHIP NUMBER: |
| | DESIGNATION: |
| | PHONE NUMBER: |
| | DATE: |
| | EMAIL: |
| | SIGNATURE: |
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PC61