CEH Exam Eligibity Application Form, Without take the course

i download the CEH Exam Eligibity Application Form.pdf from ceh site, i can’t take course for money reason, so i want self-study to achieve ceh certification.
I work from over 5 years for the same company like system administrator and network security manager, i achivied ccna and many mcp certifications. I use backtrack distro and other opensource-closedsource tools for protect my networks, servers, endpoint client and so on. I’m also exchange administrator, firewall administrator etc.
What do i need to fill into the form? Could i send them my other certifications, and my curriculum signed by employer or i can only fill the form?
Another question is, if i’ll take the eligibility could i take exam after many months. This is important for me because now i’m achieving the mcse security and in the next year i don’t know if i’ll change my company.
Thank you for all in advance!

you got to download the application form from hxxp://www.eccouncil.org/takeexam.htm, then you fill in the form which consists of 2 pages, after you fill it scan the 2 pages and attach a copy of your driving license and a letter from your company states that you’ve worked for 2 years in security field. Send all the documents to this email cehapp@eccouncil.org.

you will get your eligibility code within 2 weeks “as they said” but actually I got it within 24 hours if you are eligibile.

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