| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 20 Cotton Lane |
| Current Address Line 2 | |
| Current Address Line 3 | Middleton |
| Postcode | M24 4TE |
| From | 01/01/2022 |
| 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 | 12 |
| Address Line 2 | Palace street |
| Address Line 3 | Bury |
| Postcode | BL9 7HQ |
| From | 01/01/2018 |
| To | 31/12/2021 |
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