| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | Flat 9 |
| Current Address Line 2 | Marr House |
| Current Address Line 3 | Lower Bristol Road |
| Postcode | Ba2 3bh |
| From | 01/07/2017 |
| 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 | Flat 24 |
| Address Line 2 | Nelson House |
| Address Line 3 | Bath |
| Postcode | BA1 2TL |
| From | 01/01/2014 |
| To | 30/06/2017 |
| 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 |