| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 29 Fairview Drive |
| Current Address Line 2 | Adlington |
| Current Address Line 3 | Chorley |
| Postcode | PR69SB |
| From | 07/05/2021 |
| 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 | 4 Mariner Walk |
| Address Line 2 | Chorley |
| Address Line 3 | Lancashire |
| Postcode | PR69FF |
| From | 26/08/2011 |
| To | 07/05/2021 |
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