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          23/12/2008      17:46    02088031867                   TULIP EFSS









                                   BCOM/NINEDAY

                                   CICS Account and case numbers: 55508596 01623514


                           4


                           if you have answered NO to questions 1 & 2, please provide details of how you pay
                           your day to day living needs i.e. food, clothing, heating etc .. if you are supported
                           by friends/family we will need to see evidence of this.

















                           5


                           Did you and your partner have any Bank      No /
                           building society accounts, savings or
                           investments during this period?

                           If Yes please list them below and provide proof of the amounts
                           held for the above period. Please provide the last two full
                           months statements for every bank or building society for you and
                           your partner including the one that your Income Support or Job
                           Seekers Allowance was paid in to.

                                                                             £


                                                                             £

                                                                             £


















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