| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 13 Thorns Road |
| Current Address Line 2 | Bolton |
| Current Address Line 3 | |
| Postcode | BL1 6NX |
| From | 23/09/2016 |
| 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 | 59 Lonsdale Road |
| Address Line 2 | Bolton |
| Address Line 3 | |
| Postcode | bl1 4pw |
| From | 01/06/2015 |
| To | 22/09/2016 |
| Previous Address (2) | |
| Address Line 1 | 11 Radnor Close |
| Address Line 2 | Hindley Green |
| Address Line 3 | Wigan |
| Postcode | wn2 4rz |
| From | 01/01/2014 |
| To | 31/05/2015 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
| Postcode | |
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