| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | Grove House |
| Current Address Line 2 | Church Street |
| Current Address Line 3 | Whatton |
| Postcode | NG13 9EL |
| From | 13/04/2017 |
| 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 | 32 Grove Road |
| Address Line 2 | Bingham |
| Address Line 3 | Nottinghamshire |
| Postcode | NG13 8DY |
| From | 11/04/2003 |
| To | 13/04/2017 |
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