(1) Shall be made on a form provided by the Administration; and

(2) Shall include:

(i) The full name of the applicant;

(ii) The mailing address of the applicant; and

(iii) Any other relevant information that the Administration requires for consideration of the application.

(b) Each license issued under this part expires on the April 30 after its issuance and may be renewed annually on application and payment of the required fee.