(1) The commission, after selection of a particular qualified and suitable applicant to receive either a Category 1 or Category 2 gaming license shall issue a formal license document which shall contain the following information:

1. (a) A complete identification of the applicant's identity, address and the agent for all service of process by agencies and agents involved in regulating the gaming industry in the commonwealth;
2. (b) The category and term of the license;
3. (c) The document shall contain an official commission serial number and be printed on security protected paper material utilized in the financial and securities industries;
4. (d) A statement that all statutory conditions set forth in M.G.L. c. 23K, § 21 are incorporated by reference, included as if completely set forth therein and made a part of the issued form of gaming license;
5. (e) A statement that all additional conditions set forth by the commission shall also be incorporated by reference, included as if completely set forth therein and also made a part of the issued form of the gaming license;
6. (f) The form of gaming license shall depict the official seal of the Commonwealth of Massachusetts and be signed by the chair of the commission after receiving a commission resolution authorizing such license issuance and signature execution.