| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | Higher Lench Farm |
| Current Address Line 2 | Lench Fold Clough |
| Current Address Line 3 | Rossendale |
| Postcode | BB4 7AF |
| From | 16/11/2022 |
| 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 | 62 Taylors Road |
| Address Line 2 | Stretford |
| Address Line 3 | Manchester |
| Postcode | M32 0JP |
| From | 17/04/2014 |
| To | 15/11/2022 |
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