How to say all you have to do is to write your name and address here. in Japanese

1)ここにここに(kokoni) (adv) individually/separately君(kun) (pn) you/buddy/pal/monarch/ruler/sovereign/masterの(no) (prt) indicates possessive/nominalizes verbs and adjectives/substitutes for "ga" in subordinate phrases/indicates a confident conclusion/ indicates emotional emphasis/indicates question名前名前(namae) (n) name/full name/given name/first nameと(to) (prt,conj) if/when/and/with/particle used for quoting/quoting particle/ promoted pawn/ indicates question住所住所(juusho) (n) address/residence/domicileを(wo) (prt) indicates direct object of action/indicates subject of causative expression/indicates an area traversed/indicates time over which action takes place/indicates point of departure or separation of action/indicates object of desire, like, hate,書けno dictionary result, likely a conjigated verbno dictionary result, likely a conjigated verbばよno dictionary result, likely a conjigated verb(prt) strengthens a question, assertion, etc.のですのです(nodesu) (exp) the expectation is that .../the reason is that .../the fact is that .../it is that ...。(。) Japanese period "."    
kokoni kun no namae to juusho wo kake bayoinodesu 。
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