| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 32 Rosebay Gardens |
| Current Address Line 2 | Clipstone Village, Mansfield |
| Current Address Line 3 | Nottingham |
| Postcode | NG21 9GY |
| From | 30/05/2019 |
| 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 | 81 Westfield Lane |
| Address Line 2 | Mansfield |
| Address Line 3 | Nottingham |
| Postcode | NG18 1TW |
| From | 30/05/2017 |
| To | 29/05/2019 |
| Previous Address (2) | |
| Address Line 1 | 21 Ascot Drive |
| Address Line 2 | Mansfield |
| Address Line 3 | Nottingham |
| Postcode | ng18 3bx |
| From | 01/11/1992 |
| To | 29/05/2017 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
| Postcode | |
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