| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 1b Gloucester Crescent |
| Current Address Line 2 | Wigston |
| Current Address Line 3 | Leicester |
| Postcode | LE184YD |
| From | 01/10/2018 |
| 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 | 31 Rolleston Road |
| Address Line 2 | Wigston |
| Address Line 3 | Leicester |
| Postcode | LE18 2EP |
| From | 11/01/2016 |
| To | 01/10/2018 |
| Previous Address (2) | |
| Address Line 1 | 5 Gloucester Crescent |
| Address Line 2 | Wigston |
| Address Line 3 | Leicester |
| Postcode | LE184YD |
| From | 04/10/2010 |
| To | 11/01/2016 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
| Postcode | |
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