| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 70 Ramsey Avenue |
| Current Address Line 2 | Preston |
| Current Address Line 3 | |
| Postcode | PR1 6EL |
| From | 28/10/2021 |
| 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 | 48 Cockerell Drive |
| Address Line 2 | Bacup |
| Address Line 3 | |
| Postcode | OL13 9SG |
| From | 28/10/2017 |
| To | 28/10/2021 |
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