| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 15 Selvage Lane |
| Current Address Line 2 | London |
| Current Address Line 3 | United Kingdom |
| Postcode | NW7 3SS |
| From | 12/05/2021 |
| 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 | No. 28, Dongzhu City Street |
| Address Line 2 | Chengdu, Sichuan Province |
| Address Line 3 | China |
| Postcode | 610000 |
| From | 01/01/2000 |
| To | 11/05/2021 |
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