On a form provided by the commission, an applicant for an occupational license as a greyhound racing director of maintenance, maintenance employee or course maintenance employee shall, in addition to the application form specified in Pari 806.05, supply the following information:
(a) The name of the applicant as it appears on the form specified in Pari 806.05;(b) The name, address and telephone number of the person, corporation or association licensed under RSA 284: 15-a recommending the applicant for occupational licensure;(c) The applicant's signature, on the statement set forth in Pari 806.28 below; and(d) The date of the signature described in (c) above.N.H. Admin. Code § Pari 806.22