(1) An interactive gambling licence shall be in the approved form.
(2) A form shall not be approved for the purposes of subsection (1) unless it provides for the inclusion of the following particulars:
(a) the licensed provider's name;
(b) the date of issue of the licence;
(c) the term for which the licence is, subject to this Act, to remain in force;
(d) the conditions that the licence is subject to;
(e) any other prescribed particulars.