| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 6 Belmont Court |
| Current Address Line 2 | Belmont |
| Current Address Line 3 | Brighton |
| Postcode | BN1 3TX |
| From | 01/09/2018 |
| 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 | 12 Buckingham Close |
| Address Line 2 | Shoreham By Sea |
| Address Line 3 | |
| Postcode | BN43 6BX |
| From | 01/11/2017 |
| To | 01/09/2018 |
| Previous Address (2) | |
| Address Line 1 | Flat 1 |
| Address Line 2 | 25 Langton Road |
| Address Line 3 | Worthing |
| Postcode | BN14 7BY |
| From | 01/04/2017 |
| To | 01/11/2017 |
| Previous Address (3) | |
| Address Line 1 | 41 Southfield Road |
| Address Line 2 | Worthing |
| Address Line 3 | |
| Postcode | BN14 9EH |
| From | 01/01/2016 |
| To | 01/04/2017 |