| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | Abereiddy |
| Current Address Line 2 | Trevellas |
| Current Address Line 3 | St Agnes |
| Postcode | TR5 0WX |
| From | 01/04/2017 |
| 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 Wentworth Close |
| Address Line 2 | Redruth |
| Address Line 3 | |
| Postcode | TR15 2NJ |
| From | 01/04/2012 |
| To | 01/04/2017 |
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| Previous Address (3) | |
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