2. Every individual who is required by the Act to apply for a Social Insurance Number shall, on the prescribed form, furnish Retraite Québec with the following information:
(a) his name and given names;
(b) his name at birth, if it is different from his present name;
(c) his date of birth;
(d) his place of birth;
(e) his mother’s surname at her birth;
(f) the first given name of his father; and
(g) any other information which is required in the prescribed form.