17. A person referred to in section 16 shall also send with his application the following information and documents, accompanied by a solemn affirmation attesting to their accuracy:(1) the information and documents provided for in section 19;
(2) the category and number of his certificate or certificates for a market intermediary in insurance;
(3) his name and, where applicable, any other name that he uses in Québec in carrying on the activity of market intermediary in insurance; and
(4) a copy of his certificate or certificates for a market intermediary in insurance.