All such applications by prospective respondents shall contain:
(1) A verified statement by the applicant disclosing and setting forth the types or classes of goods or services which the applicant desires to furnish and is able to furnish to the state or any state agency;
(2) A statement disclosing whether such applicant will furnish such goods or services as a manufacturer, dealer, agent, distributor, factor, or otherwise; and
(3) Such other information as may be required by the central procurement office to establish the ability of the applicant to perform any future undertaking for the state.