On a form provided by the commission, an applicant for an occupational license as a horse racing mutual manager, mutual department employee, food concession manager, admissions manager, food concession employee or admissions employee 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) The name, address and telephone number of the person, corporation or association licensed under RSA 284:15 recommending the applicant for the occupational license;(c) Whether or not the applicant is able to make change and balance accounts;(d) The applicant's signature on the statement set forth in Pari 605.28; and(e) The date of the signature described in (d) above.N.H. Admin. Code § Pari 605.21