5. The recommendation is addressed to the secretary of the committee and includes:(1) the name and address of the recommended recipient;
(2) the date, hour, place and description of the act of good citizenship and, where applicable, the names of the persons involved;
(3) the names and addresses of the witnesses;
(4) where the person who accomplished the act of good citizenship has died, the name and address of his spouse or, in the absence thereof, of the closest relative or, in the absence thereof, of the closest friend; and
(5) the name of the person who makes the recommendation.