| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 25 Broad Oak Drive |
| Current Address Line 2 | Brinsley |
| Current Address Line 3 | Nottingham |
| Postcode | NG16 5DJ |
| From | 26/06/2020 |
| 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 | 31B |
| Address Line 2 | Plainspot Road |
| Address Line 3 | Brinsley |
| Postcode | NG16 5GQ |
| From | 01/10/2019 |
| To | 26/06/2020 |
| Previous Address (2) | |
| Address Line 1 | 42 Laburnum Crescent |
| Address Line 2 | Derby |
| Address Line 3 | |
| Postcode | DE22 2GQ |
| From | 01/02/2018 |
| To | 01/10/2019 |
| Previous Address (3) | |
| Address Line 1 | 2a Oakover Drive |
| Address Line 2 | Derby |
| Address Line 3 | |
| Postcode | DE22 2PP |
| From | 08/08/2014 |
| To | 01/02/2018 |