| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 69 Riviera Drive |
| Current Address Line 2 | Croxteth |
| Current Address Line 3 | Liverpool |
| Postcode | L114ur |
| From | 18/12/2016 |
| 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 | 199a Bramhall Lane |
| Address Line 2 | Stockport |
| Address Line 3 | Cheshire |
| Postcode | SK26JA |
| From | 01/09/2014 |
| To | 17/12/2016 |
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| Previous Address (3) | |
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