| 1.0 PERSONAL DETAILS |
| NIQS MEMBERSHIP NUMBER: | P02248A | | SURNAME: | AKOR | | OTHER NAMES: | HENRY OWOICHO | | TITLE/GENDER: | MR./MALE | | DATE OF BIRTH: | 1993-04-03 | | CHAPTER: | ABUJA | | PHONE NUMBER: | 09066279966, | | EMAIL ADDRESS: | henryowoicho@gmail.com | | POSTAL ADDRESS: | SMILE ASSEMBLY STREET, FCDA, KUBWA, ABUJA | | CURRENT MEMBERSHIP GRADE: | PROBATIONER | | DATE OF REGISTRATION: | 2023-10-04 | | 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 | C4 | | MATHEMATICS | C6 | | PHYSICS | C4 | | TECHNICAL DRAWING | B3 | | ECONOMICS | C6 |
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| 4.0 EDUCATION: |
| SN | UNIVERSITY/INSTITUTION | COUNTRY | DEGREE/DIPLOMA NAME
(eg. B.Tech Quantity Surveying) | DATE COMPLETED | | 1 | FEDERAL UNIVERSITY OF TECHNOLOGY MINNA | NIGERIA | B.TECH IN QUANTITY SURVEYING | 2019-11-27 |
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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/2025/01/07 | ABUJA | | 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 | URBAN CRITERION LIMITED/ NO 1 KANDI CLOSE, WUSE 2, ABUJA | SENIOR QUANTITY SURVEYOR (2025-07-02 - Date) | QUANTITY SURVEYING DUTIES | | 2 | SAMSON ALLE & ASSOCIATES/ APO SPARKLIGHT PLAZA, DURUMI, ABUJA | SENIOR QUANTITY SURVEYOR (2023-05-01 - Date) | QUANTITY SURVEYING DUTIES | | 3 | ABRAHAM COST ASSOCIATES | JUNIOR QUANTITY SURVEYOR (2021-12-06 - 2023-04-05) | ASSIST THE SENIOR QUANTITY SURVEYOR IN QUANTITY SURVEYING WORKS |
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| 8.0 EMPLOYER DETAILS |
| a) NAME OF EMPLOYER: | SAMSON ALLE & ASSOCIATES | | b) EMPLOYER'S BUSINESS ADDRESS: | APO SPARKLIGHT PLAZA, DURUMI, ABUJA | | c) NATURE OF EMPLOYER'S BUSINESS: | QUANTITY SURVEYING CONSULTANCY SERVICES | | d) POSITION OF APPLICANT: | SENIOR QUANTITY SURVEYOR | | e) DATE OF EMPLOYMENT: | 2023-05-01 |
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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: | 01949 | | b) SPONSOR'S FULL NAME: | SAMSON ALLE UNAMU | | c) SPONSOR'S EMAIL ADDRESS: | SAMSONALLE@YAHOO.COM | | d) SPONSOR'S CONTACT ADDRESS: | P.O.BOX 7802 WUSE HSE 3 C CLOSE KADO ESTATE ABUJA FCT | | e) SPONSOR'S MEMBERSHIP GRADE: | MEMBER | | f) SPONSOR'S RESGISTRATION DATE:: | 2010-09-14 |
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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: | ABUJA
| | NAME: |
| | NIQS MEMBERSHIP NUMBER: |
| | DESIGNATION: |
| | PHONE NUMBER: |
| | DATE: |
| | EMAIL: |
| | SIGNATURE: |
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PC63