| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 73 Orchard Avenue |
| Current Address Line 2 | Blackpool |
| Current Address Line 3 | |
| Postcode | FY4 2NY |
| From | 16/03/2021 |
| 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 | 41 Crescent Court |
| Address Line 2 | South Promenade |
| Address Line 3 | Blackpool |
| Postcode | FY4 1ST |
| From | 10/09/2018 |
| To | 16/03/2021 |
| Previous Address (2) | |
| Address Line 1 | 6 Salford Rd |
| Address Line 2 | Galgate |
| Address Line 3 | Lancaster |
| Postcode | LA2 0LL |
| From | 11/10/2015 |
| To | 10/09/2018 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
| Postcode | |
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