(a) Fingerprints for submission to the Federal Bureau of Investigation, and any governmental agency or entity authorized to receive such information for a state, national and international criminal history background check, as may be designated by the superintendent; and
(b) Personal history and experience in a form prescribed by the NMLSR, including the submission of authorization for the NMLSR to obtain:
(i) an independent credit report from a consumer reporting agency described in section 603(p) of the Fair Credit Reporting Act; and
(ii) information related to any administrative, civil or criminal findings by any governmental jurisdiction.
(c) The current business name and principal address of the originating entity employing the applicant or with which the applicant has an affiliation; and
(d) Such other pertinent information as the superintendent may require.