Though you’re not giving us a lot to go on here, I would assume that the copyright transfer agreement is for a specific publication (document, film or other recording) OR a particular performance (event), so the specifics are being asked on that line: what publication or performance is the subject of the agreement? And the signature / date line should be self-explanatory: the company representative has to be a person (I would think that the person’s title is also valid information to record, but this isn’t my form or my specialty), and all legal agreements are dated as a matter of record.