| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 1 The Cedars |
| Current Address Line 2 | New Longton |
| Current Address Line 3 | PRESTON |
| Postcode | PR4 4AF |
| From | 07/08/2015 |
| 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 | 35 Lindle Crescent |
| Address Line 2 | Hutton |
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| Postcode | PR4 4AP |
| From | 10/08/2007 |
| To | 07/08/2015 |
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