| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 56 Clifton avenue |
| Current Address Line 2 | |
| Current Address Line 3 | Benfleet |
| Postcode | SS7 5QQ |
| From | 01/06/2017 |
| If you have been living at your current address for less than 5 years, please add more addresses below | |
| Previous Address (1) | |
| Address Line 1 | 11 Bradley Avenue |
| Address Line 2 | |
| Address Line 3 | Benfleet |
| Postcode | SS7 3AG |
| From | 30/09/2016 |
| To | 01/06/2017 |
| Previous Address (2) | |
| Address Line 1 | 38 Hackamore |
| Address Line 2 | |
| Address Line 3 | Benfleet |
| Postcode | SS7 3DU |
| From | 01/01/2007 |
| To | 30/09/2016 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
| Postcode | |
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