(1) in the section concerning the plea:(a) the statement of offence number;
(b) the defendant’s plea; and
(c) the defendant’s signature or, as the case may be, the defendant’s signature in electronic form or the electronic signature validation code, and the date of signature; and
(2) in the section concerning the penalty and the payment:(a) the minimum fine and costs prescribed by law and, if applicable, the contribution, and the total amount of the fine, costs and, if applicable, contribution;
(b) other amounts that may be imposed by law;
(c) the address to which the defendant must send the plea and, if the defendant enters a plea of guilty, the address to which the total amount of the fine, costs and, if applicable, contribution, must be sent;
(d) a repetition of the date of service of the statement of offence; and
(e) any amount that has been paid.