A certificate for the purposes of section 86J(5) of the Act must contain the following particulars—
(a) a statement by the registered medical practitioner or approved health professional that the requirements of these Regulations for the taking of blood samples have been complied with;
(b) the name of the person from whom the oral fluid sample was taken;
(c) the time and date the oral fluid sample was taken;
(d) the name and signature of the registered medical practitioner or approved health professional who took the oral fluid sample.