24. The front of the pages or the data on the corresponding page screens in the general statement of offence with a request for sentence allowing for a greater sentence than the minimum sentence shall contain the hearings, key words, texts and spaces allowing all the following particulars to be entered:(1) the title “Statement of Offence” and the number of the statement of offence;
(2) the judicial district in which the proceedings are instituted;
(3) if the statement of offence is in paper form, the court office record number; if the statement of offence is in electronic form, that number may be entered in another document electronically attached or referenced to the statement of offence;
(4) the prosecutor’s name and address; the prosecutor’s address may appear on the back of the statement of offence rather than on the front;
(5) the defendant’s name and address;
(6) a description of the offence and the minimum sentence prescribed for a first offence against the legislative provision violated;
(7) the name, quality and signature of the issuer of the statement of offence or, as the case may be, his signature affixed electronically or the validation code for his signature so affixed, and the date on which the statement is issued;
(8) the date and time of service of the statement of offence by a bailiff or a peace officer or, for service by mail, the reference to the document stating that date;
(9) if the statement of offence is served other than by mail, the name, quality and signature of the person who served the statement of offence or, as the case may be, his signature affixed electronically or the validation code for his signature so affixed;
(10) a request for sentence stating the sentence, the costs and, where applicable, the amount of the contribution provided for in article 8.1 of the Code of Penal Procedure (chapter C-25.1) and, where the prosecutor requests a greater sentence than the minimum sentence, the sentence requested and the reasons for the request;
(11) the defendant’s plea and, in the case of a plea of guilty, mention of the fact that the greater sentence requested may be contested;
(12) the defendant’s signature or, as the case may be, his signature affixed electronically or the validation code for his signature so affixed, the quality of the signatory if the defendant is a legal person, and the date of the signature; and
(13) a notice or an order relating to the offence described and provided for in the statute creating the offence.