| 1.0 PERSONAL DETAILS |
| NIQS MEMBERSHIP NUMBER: | P00537I | | SURNAME: | IKPAIKOR | | OTHER NAMES: | KAWUUK ZEPHANIAH | | TITLE/GENDER: | MR./MALE | | DATE OF BIRTH: | 1990-04-28 | | CHAPTER: | RIVERS | | PHONE NUMBER: | 08164568457, | | EMAIL ADDRESS: | kawuukzephaniah@gmail.com | | POSTAL ADDRESS: | #30C OMASI RD, RUMUOMASI, PORT HARCOURT, RIVERS STATE | | CURRENT MEMBERSHIP GRADE: | PROBATIONER | | DATE OF REGISTRATION: | 2022-11-17 | | 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 | C5 | | MATHEMATICS | C6 | | PHYSICS | C6 | | CHEMISTRY | D7 | | GEOGRAPHY | C5 |
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| 4.0 EDUCATION: |
| SN | UNIVERSITY/INSTITUTION | COUNTRY | DEGREE/DIPLOMA NAME
(eg. B.Tech Quantity Surveying) | DATE COMPLETED | | 1 | RIVERS STATE UNIVERSITY, PORT HARCOURT | NIGERIA | B.TECH IN QUANTITY SURVEYING | 2018-09-18 |
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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 | TPC2/2025/03/143 | 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 | REEFCOURTS APARTMENTS AND PROPERTIES LTD | QUANTITY SURVEYOR (2021-02-24 - Date) | PROVIDES COST CONTROL AND MONITORING |
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| 8.0 EMPLOYER DETAILS |
| a) NAME OF EMPLOYER: | REEFCOURTS APARTMENTS AND PROPERTIES LTD | | b) EMPLOYER'S BUSINESS ADDRESS: | OKURU-AMA. OFF PETER ODILI RD, PORT HARCOURT | | c) NATURE OF EMPLOYER'S BUSINESS: | REAL ESTATE AND CONSTRUCTION | | d) POSITION OF APPLICANT: | QUANTITY SURVEYOR | | e) DATE OF EMPLOYMENT: | 2021-02-08 |
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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: | 02761 | | b) SPONSOR'S FULL NAME: | OCHEMBA LEE MADUBUEZI | | c) SPONSOR'S EMAIL ADDRESS: | OCHEMBALEE2@YAHOO.COM | | d) SPONSOR'S CONTACT ADDRESS: | PLOT 8A,RD 5, FHE WOJI PORTHARCOURT RIVERS STATE (P. O. BOX 6334 ABA) | | e) SPONSOR'S MEMBERSHIP GRADE: | MEMBER | | f) SPONSOR'S RESGISTRATION DATE:: | 2011-09-14 |
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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: | RIVERS
| | NAME: |
| | NIQS MEMBERSHIP NUMBER: |
| | DESIGNATION: |
| | PHONE NUMBER: |
| | DATE: |
| | EMAIL: |
| | SIGNATURE: |
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