| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 130 Cambridge Road |
| Current Address Line 2 | Southport |
| Current Address Line 3 | |
| Postcode | PR9 9RZ |
| From | 06/10/2020 |
| 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 | 16D Queens Road |
| Address Line 2 | Southport |
| Address Line 3 | |
| Postcode | PR9 9EX |
| From | 20/03/2017 |
| To | 06/10/2020 |
| Previous Address (2) | |
| Address Line 1 | 18 Rookery Road |
| Address Line 2 | Southport |
| Address Line 3 | |
| Postcode | PR9 7JQ |
| From | 01/04/1994 |
| To | 20/03/2017 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
| Postcode | |
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