| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 5C Accrington Road |
| Current Address Line 2 | Whalley |
| Current Address Line 3 | Clitheroe |
| Postcode | BB7 9TD |
| From | 23/03/2023 |
| 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 | 3 Sunnyside Avenue |
| Address Line 2 | Wilpshire |
| Address Line 3 | Blackburn |
| Postcode | BB1 9LW |
| From | 25/06/2018 |
| To | 23/03/2023 |
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