What information is required for a Trademark Clearinghouse registration?

Question
What information is required for a Trademark Clearinghouse (TMCH) registration?
Answer
The Trademark Clearinghouse requires the following data:
Name of the mark
Registration number and registration date
Jurisdiction
Description of goods and services class
Detailed description of goods and services*
Status of the Trademark Holder (owner/licensee/assignee)
Organization (in case of company/organization) or full name (in case of individual)
Address of the Trademark Holder
Contact information of the Trademark Holder
The following data is optional:
Application number
Application date
Expiration date
If you want to apply for Sunrise services or Claims notification, you also need:
Signed declaration of use and a single sample of proof
* The detailed description of goods and services should be in the language as on the trademark certificate. If sub classes have been excluded, they need to be put between square brackets ( [...] ).