There are organizations that are called registries that manage each TLD option. When you register domain names, you would first visit a domain registrar who would in turn check with the registry that manages that TLD to see if the domain is available. If the domain for the TLD you want discovers that it is in fact available, the registry adds it to their registry and gives you access to it. If the domain has already been registered by another user for that TLD, you will be shown during the domain registration process that the domain isn't available.

Domain names can be used in a number of ways. Direct visitors to your website’s home page or use complementary domains to send them to specific areas of your website ( e.g. yourcompany.jobs for a careers page). Or, forward a custom domain to an existing social media account, like your Twitter profile or Periscope channel. With a domain name you can even set up custom email addresses like yourname@yoursite.social, which can be used to conduct business or communicate with your followers. More.
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