| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 77/14 Hettiyawatta, Elapitiwala, Ragama. |
| Current Address Line 2 | |
| Current Address Line 3 | |
| Postcode | 11010 |
| From | 15/06/2022 |
| 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 | 116,Balagala Road, Hendala, Wattala. |
| Address Line 2 | |
| Address Line 3 | |
| Postcode | 11300 |
| From | 05/03/2013 |
| To | 15/06/2022 |
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| Previous Address (3) | |
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