| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 27 Antigua Drive |
| Current Address Line 2 | Lower Darwen |
| Current Address Line 3 | Darwen |
| Postcode | BB3 0SF |
| From | 01/09/2022 |
| 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 | 39 Clayton Way |
| Address Line 2 | Clayton-le-Moors |
| Address Line 3 | Accrington |
| Postcode | BB5 5WT |
| From | 01/09/2018 |
| To | 01/09/2022 |
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