The application shall be in a form which is supplied by the director. It shall show all of the following:
(a)
The name of the applicant and the address of his principal place of business.
(b)
The name, brand, or trademark under which the livestock drug is to be sold.
(c)
The minimum net contents of each size and type of container in which the livestock drug is to be sold at retail.
(d)
The name of each active drug ingredient and the quantity or proportion of each such ingredient.
(e)
A statement of each purpose for which the livestock drug is to be used.
(f)
A statement of the form in which the livestock drug is to be administered, the method of administration, and, if the method of administration involves the use of any special device which is supplied with such drug, a description of such device.
(g)
A statement of the amount and frequency of the dosage which is to be recommended.
(h)
Such other information and data as the director may require.