Application for certificate of registration as home improvement contract salesman

Any individual seeking a certificate of registration as a home improvement contract salesman shall apply to the commissioner of consumer protection on a form provided by said commissioner. Such application shall include: (a) Applicant's name; (b) Applicant's date of birth; (c) Applicant's social security number; (d) Applicant's residence address; (e) Applicant's business address; (f) Any trade name used by the applicant; (g) A listing of the names and business addresses of all home improvement contractors on behalf of whom the applicant will solicit home improvement contracts; (h) A certification signed by each home improvement contractor listed pursuant to subsection (g) of this section that the applicant is authorized to solicit home improvement contracts on behalf of said home improvement contractor and that said contractor is duly registered; and (i) The applicant's signature, the date of said signature, and said applicant's signature verified under oath.