| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 38 Kearsley Avenue |
| Current Address Line 2 | Tarleton |
| Current Address Line 3 | Preston |
| Postcode | PR4 6BQ |
| From | 18/10/2023 |
| 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 | 18 Abrams Green |
| Address Line 2 | Banks |
| Address Line 3 | Southport |
| Postcode | PR9 8DN |
| From | 16/12/2022 |
| To | 18/10/2023 |
| Previous Address (2) | |
| Address Line 1 | 13 Church Road |
| Address Line 2 | Tarleton |
| Address Line 3 | Preston |
| Postcode | PR4 6UR |
| From | 04/04/2019 |
| To | 16/12/2022 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
| Postcode | |
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