| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 36 Culver Road |
| Current Address Line 2 | Bradford on Avon |
| Current Address Line 3 | |
| Postcode | BA15 1JA |
| From | 01/02/2019 |
| 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 | 24 Blenheim Close |
| Address Line 2 | Peasedown St John |
| Address Line 3 | Bath |
| Postcode | BA2 8TE |
| From | 01/07/2017 |
| To | 01/02/2019 |
| Previous Address (2) | |
| Address Line 1 | Flat 3 James Court |
| Address Line 2 | 52 Frome Road |
| Address Line 3 | Bath |
| Postcode | BA2 2QB |
| From | 21/12/2015 |
| To | 01/07/2017 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
| Postcode | |
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