(a) the name of the applicant;

(b) whether the applicant is applying for registration as a supplier or brand owner;

(c) the location of the head office of the applicant, and its main place of business within the Province;

(d) if a corporation, the name of the officers of the corporation, their titles, addresses of their places of residence and telephone numbers;

(e) the name, address and telephone number of the person to whom any correspondence or inquiries should be directed; and

(f) if an applicant is a brand owner, the name, address and telephone number of any agent acting on behalf of the applicant for the purposes of this Regulation.