| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 15 Birch Close |
| Current Address Line 2 | Whiston |
| Current Address Line 3 | Prescot |
| Postcode | L35 2XD |
| From | 01/07/2020 |
| 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 | 42 Pendleton Court |
| Address Line 2 | Speakman Way |
| Address Line 3 | Prescot |
| Postcode | L34 5NB |
| From | 20/02/2019 |
| To | 01/07/2020 |
| Previous Address (2) | |
| Address Line 1 | 15 Birch Close |
| Address Line 2 | Whiston |
| Address Line 3 | Prescot |
| Postcode | L35 2XD |
| From | 10/01/1991 |
| To | 20/02/2019 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
| Postcode | |
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