On a form provided by the commission, an applicant for an occupational license as a blacksmith or equine dentist shall, in addition to the application form specified in Pari 605.05, supply the following:
(a) The name of the applicant as it appears on the form specified in Pari 605.05;(b) Whether or not the applicant is a member of the USTA, and if so, the applicant's membership number and expiration date;(c) Whether or not the applicant is licensed by the USTA for the calendar year being applied for;(d) A list of all USTA licenses and years held by the applicant for the most recent 3 years of licensure;(e) The names, addresses and telephone numbers of 2 persons whom the applicant has known for at least 2 years who are not relatives and who will recommend the applicant for licensure;(f) The applicant's signature on the statement set forth in Pari 605.28; and(g) The date of the signature described in (f) above.N.H. Admin. Code § Pari 605.18