| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | Flat 16 Mill Court |
| Current Address Line 2 | The Island |
| Current Address Line 3 | Midsomer Norton |
| Postcode | BA3 2HA |
| From | 22/12/2017 |
| 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 | 72 St Mary Rise |
| Address Line 2 | Writhlington |
| Address Line 3 | Radstock |
| Postcode | BA3 3PD |
| From | 14/10/2014 |
| To | 21/12/2017 |
| Previous Address (2) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
| Postcode | |
| From | |
| To | |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
| Postcode | |
| From | |
| To |