| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 1 Cotswold Gardens |
| Current Address Line 2 | Midsomer Norton |
| Current Address Line 3 | Radstock |
| Postcode | BA34WT |
| From | 18/05/2018 |
| 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 | 2 Haydon Gate |
| Address Line 2 | Haydon |
| Address Line 3 | Radstock |
| Postcode | BA33RB |
| From | 17/01/2014 |
| To | 18/05/2018 |
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