On a form provided by the commission, an applicant for an occupational license as a greyhound racing official trainee 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 name, address, telephone number and title of the racing official who has agreed to supervise the applicant;(d) The applicant's signature on the statement set forth in Pari 806.28 below; and(e) The date of the signature described in (d) above.N.H. Admin. Code § Pari 806.12