| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 71 Dereham Way |
| Current Address Line 2 | Winstanley |
| Current Address Line 3 | Wigan |
| Postcode | WN3 6HX |
| From | 18/03/2018 |
| 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 | 2a Kelway Terrace |
| Address Line 2 | Whelley |
| Address Line 3 | Wigan |
| Postcode | WN1 3NX |
| From | 30/06/2003 |
| To | 18/03/2018 |
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