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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 IE. 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 building           Yes:          No:
            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.




                                                                              £



                                                                              £

                                                                              £




















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