The effect of the applicant's signature on part one of the form shall be:

1. (a) The applicant’s acknowledgement that, under RSA 641:3, I, knowingly making a false statement on the application form is a misdemeanor;

2. (b) The applicant’s certification that:

   1. (1) The information provided on all of the parts of the application form and in the documents personally submitted to support the application is complete and accurate to the best of the applicant’s knowledge and belief; and
   2. (2) The applicant has read the statutes and administrative rules of the board; and
3. (c) The applicant’s promise to abide by RSA 153:27 through RSA 153:38 and the rules of the board.

Source. #10648, EMERGENCY RULE, eff 7-25-14, EXPIRES: 1-21-15; ss by #10761, INTERIM, eff 1-21-15, EXPIRES: 7-20-15; ss by #10847, eff 7-1-15