Form Cb 1 - Application Form For Child Benefit Page 6

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Part 2 continued
Habitual Residence condition
Country 2
Country:
Dates you lived there:
From:
To:
D D
M M
Y Y Y Y
Last address there:
Why did you live there?
Note: A separate sheet of paper can be used for more details if needed.
23.Have you lived at the same address for the last 2 years?
Yes
No
If ‘No’, please give details of where you lived in the space provided.
Last address:
From:
To:
D D
M M
Y Y Y Y

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