| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 21 Clifton Drive |
| Current Address Line 2 | Lytham |
| Current Address Line 3 | |
| Postcode | FY8 5QY |
| From | 09/07/2019 |
| 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 | 9 Bazley Road |
| Address Line 2 | Lytham |
| Address Line 3 | |
| Postcode | FY8 1AJ |
| From | 05/04/2018 |
| To | 09/07/2019 |
| Previous Address (2) | |
| Address Line 1 | 27 Carnoustie Drive |
| Address Line 2 | Euxton |
| Address Line 3 | Chorley |
| Postcode | PR7 6FR |
| From | 15/04/2015 |
| To | 05/04/2018 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
| Postcode | |
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