Application for a Certificate of Registration shall be made upon a form provided by the Village Clerk of this Municipality and filed with such Village Clerk. The applicant shall truthfully state in full the information requested on the application, to-wit:
(A) Name and address of present place of residence and length of residence at such address as well as business address if other than residence address; also, Social Security Number.
(B) Address of place of residence during the past three (3) years if other than present address.
(C) Age of applicant and marital status; and if married, the name of spouse.
(D) Physical description of the applicant.
(E) Name and address of the person, firm or corporation or association with whom the applicant is employed or represents; and the length of time of such employment or representation.
(F) Name and address of employer during the past three (3) years if other than the present employer.
(G) Description sufficient for identification of the subject matter of the soliciting in which the applicant will engage.
(H) Period of time for which the Certificate is applied.
(I) The date or approximate date of the latest previous application for a Certificate under this Code, if any.
(J) Has a Certificate of Registration issued to the applicant under this Code ever been revoked?
(K) Has the applicant ever been convicted of a violation of any of the provisions of this Code or the regulations of any other Illinois municipality regarding soliciting?
(L) Has the applicant ever been convicted of the commission of a felony under the laws of the State of Illinois or any other state or federal law of the United States?
(M) The last three (3) municipalities where the applicant carried on business immediately preceding the date of application in this Municipality and the address from which such business was conducted in those municipalities.
(N) Also, such additional information as the Village Clerk may deem necessary to process the application.
All statements made by the applicant upon the application or in connection therewith shall be under oath.
The Village Clerk shall cause to be kept in his office an accurate record of every application received and acted upon, together with all other information and data pertaining thereto and all Certificates of Registration issued under the provisions of this Chapter, and of the denial of applications. Applications for Certificates issued shall be numbered in consecutive order as filed, and every Certificate issued and any renewal thereof shall be identified with the duplicate number of the application upon which it was issued.
No Certificate of Registration shall be issued to any person who has been convicted of the commission of a felony under the laws of the State of Illinois or any other state or federal law of the United States within five (5) years of the date of the application; nor to any person who has been convicted of a violation of any of the provisions of this Chapter, nor to any person whose Certificate of Registration issued hereunder has previously been revoked as herein provided.
(O) License plate, model, and make of vehicle must be furnished.