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BCON/NINEDAY
CICS Account and case numbers: 01623514 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 / do you and your partner have any bank or Yes No
building society accounts, savings or investment
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.

£

£

£

30
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