The registration certificate must be in the form the commissioner prescribes and must state:
(1) the principal place of business and address of the dealer or investment adviser;
(2) the name and business address of each person interested in the business as a principal, officer, director, or managing agent of the dealer or investment adviser; and
(3) that the dealer or investment adviser has been registered for a current calendar year as a dealer in securities or as an investment adviser, as appropriate.