The application described by Sections 4004.101 and 4004.102 must:
(1) be in the form the commissioner prescribes;
(2) state:
(A) the residence and address of the person whose registration as an agent or investment adviser representative is requested through the application; and
(B) any other information relating to that person's previous history, record, and associations that the commissioner may require; and
(3) be signed and sworn to by the person whose registration as an agent or investment adviser representative is requested through the application.