A notice to a licensee to pay a levy imposed under the Act, section 169(1) must be signed by the Secretary and contain the following particulars--
(a) the amount of the levy payable by the licensee,
(b) the date by which, and way in which, the levy is payable,
(c) a note as to the consequences of a failure by a licensee to pay the levy as set out in the Act, section 169(4),
(d) the date on which the notice was signed by the Secretary.