Regulation 75A

a statement that the notice is issued in accordance with section 66(4);

the patent number of the patent relied on, as stated in the certificate of grant;

the date of filing of the application pursuant to which that patent was granted;

the date on which that patent was granted;

the name and address of each proprietor of that patent;

the address for service of the proprietor or proprietors, as the case may be;

the name and address of the person referred to in section 66(3)(b)(ii);

a detailed statement explaining how the import of the patented product by the importer would result in the product being distributed in breach of the contract referred to in section 66(3)(b);

the text of all clauses in the contract referred to in section 66(3)(b) which are relied on or referred to in the statement under paragraph (h).