A. A statement that the applicant holds a currently valid certificate, together with the number thereof, or if it be the case, that the certificate has been applied for but not yet issued and a statement of the date of application therefor;

B. The name and business address, residence address, business telephone number and residence telephone number of the applicant.

C. The make, type, year of manufacture and seating capacity of the vehicle for which application is made;

D. A general statement that the applicant has complied, or prior to the commencement of operation of the vehicle, will comply with all of the provisions of this chapter.