| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 13 Cornwall Crescent |
| Current Address Line 2 | Brighouse |
| Current Address Line 3 | |
| Postcode | HD6 4DS |
| From | 05/01/2018 |
| 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 Well Green Lane |
| Address Line 2 | Brighouse |
| Address Line 3 | |
| Postcode | HD6 2NS |
| From | 01/08/1994 |
| To | 05/01/2018 |
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