| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 11 |
| Current Address Line 2 | West Halt Drive |
| Current Address Line 3 | |
| Postcode | BL5 3LH |
| From | 01/12/2022 |
| 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 | 88 |
| Address Line 2 | Ladies Lane |
| Address Line 3 | Hindley |
| Postcode | Wn2 2rg |
| From | 07/02/2014 |
| To | 01/12/2022 |
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