4. In relation to the payment by any person of a penalty in accordance with a penalty notice issued under section 86 of the Act other than in respect of an offence under section 63(7), 64(4) or 65(4) of that Act, the prescribed information, subject to paragraph 7, is—
(a)a description of the fixed penalty offence;
(b)a description of the regulated activity that the person given the penalty notice was carrying on or involved in carrying on;
(c)the name of the service provider in respect of that regulated activity;
(d)where the penalty notice is given to a registered manager, the name of the registered manager; and
(e)the relevant address.