| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 90 College Drive |
| Current Address Line 2 | Horwich |
| Current Address Line 3 | |
| Postcode | BL6 6GH |
| From | 14/12/2021 |
| 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 | 88 Oxford Street |
| Address Line 2 | Leigh |
| Address Line 3 | |
| Postcode | WN7 1NG |
| From | 17/11/2017 |
| To | 13/12/2021 |
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