| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | The Woodlands |
| Current Address Line 2 | Moss Lane |
| Current Address Line 3 | Leyland, Preston |
| Postcode | PR25 4SE |
| From | 01/04/2022 |
| 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 The Vineyard |
| Address Line 2 | Walton Le Dale |
| Address Line 3 | Preston |
| Postcode | PR5 4PR |
| From | 01/03/2021 |
| To | 01/04/2022 |
| Previous Address (2) | |
| Address Line 1 | 2 The Finches |
| Address Line 2 | Mellor |
| Address Line 3 | Blackburn |
| Postcode | BB2 7EQ |
| From | 01/10/2019 |
| To | 01/03/2021 |
| Previous Address (3) | |
| Address Line 1 | 2 Elswick Lodge |
| Address Line 2 | Mellor |
| Address Line 3 | Blackburn |
| Postcode | bb2 7RX |
| From | 01/01/2017 |
| To | 01/10/2019 |