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CEH Exam Eligibility Application Form

The document is an application form for individuals seeking eligibility to take the Certified Ethical Hacker (CEH) exam. It outlines the requirements to apply including having at least two years of information security experience, completing the application form, including a letter of recommendation from a supervisor confirming the experience, and attaching a copy of a driver's license. It notes the application will be processed within two weeks and requires contact information and details about the applicant's security experience and preferred testing location. The applicant also must agree to abide by the CEH Code of Ethics and not use any hacking skills illegally.

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Ifechi Ace Okobi
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631 views4 pages

CEH Exam Eligibility Application Form

The document is an application form for individuals seeking eligibility to take the Certified Ethical Hacker (CEH) exam. It outlines the requirements to apply including having at least two years of information security experience, completing the application form, including a letter of recommendation from a supervisor confirming the experience, and attaching a copy of a driver's license. It notes the application will be processed within two weeks and requires contact information and details about the applicant's security experience and preferred testing location. The applicant also must agree to abide by the CEH Code of Ethics and not use any hacking skills illegally.

Uploaded by

Ifechi Ace Okobi
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 4

Page 

EC-Council
CEH Exam Eligibility Application Form
http://www.eccouncil.org EC-Council
Eligibility Requirements
Page 

You must have at least two years of information security related experience.

Application Submission Steps


Step 1: Complete the application form (page 3 and 4)

Step 2: Ask your Boss / Supervisor / Department head to write a letter in company
letterhead confirming your 2 years security related work experience

Step 3: Attach a copy of your Drivers License

Step 4: Fax the above documents to +1-505-212-0667 or Scan the documents and e-mail
them to [email protected]

Step 5: You will receive your CEH exam eligibility code within 2 weeks time

Note: We treat personal information securely and confidentially. EC-Council adheres to


strict US privacy laws and will not disclose the submitted information to any third party.

http://www.eccouncil.org EC-Council
CEH Exam Application Form
Applicant Information

Page 
First Name: _______________________________ Last Name: ____________________________

Proof of identity: __________________________________________ (Attach Drivers License copy)

Residence: _____________________________________________________________________

Address: _______________________________________________________________________

City: State/Province: ____________Country: ________________ Zip/Postal Code: _____________

Daytime phone number/Cellular/other: ________________________________________________

E-mail: ________________________________________________________ (Please write clearly)


(Company E-mail address is required. Your application will not be processed if you use free e-mail accounts
such as hotmail/yahoo/gmail/rediffmail etc.)

Experience Qualifications

Company Name: ______________________________________________________________________

Company URL: http://__ _______________________________________________________________

Job title/position: ____________________________________________________________________

Number of years with this employer: _______________________________________________________

Number of months of security related work experience with this employer: ___________________________

Type of security related work: ____________________________________________________________

Experience qualifications certified by supervisor/agency representative:

Supervisor name: ______________________________ Position: _______________________________

http://www.eccouncil.org EC-Council
Where would you like to take the exam?

___ VUE Testing Center ___ Prometric APTC Testing Center

Statement of Compliance
The objective of the certification ‘Certified Ethical Hacker’ is to introduce, educate and
demonstrate hacking techniques and tools for legal security testing purposes only. Those
who are certified by EC-Council in this discipline acknowledge that such certification is a
mark of distinction that must be both earned and respected.
Page 

In lieu of this, all Certified Ethical Hackers pledge to fully support the Code of Ethics. Certi-
fied professionals who deliberately or intentionally violate any provision of the Code will be
subject to action by a review panel, which can result in the revocation of the certification.

To this end, you will not exploit the thus acquired skills for illegal or malicious attacks and
you will not use such tools in an attempt to illegally compromise any computer system.
Additionally you agree to indemnify EC-Council and its partners with respect to the use or
misuse of these tools, regardless of intent. You agree to comply with all applicable local,
state, national and international laws and regulations in this regard.

I certify that I meet the experience and training requirements to apply to become a Certified
Ethical Hacker. The information contained in this application is true and correct to the best
of my knowledge. I understand that if I engage in any inappropriate, unethical, or illegal
behavior or activity, my CEH status can be terminated immediately.

____________________________________ ___________________________
Signature Date

http://www.eccouncil.org EC-Council

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