| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 3 Newport Close |
| Current Address Line 2 | Clevedon |
| Current Address Line 3 | |
| Postcode | BS21 5DZ |
| From | 29/11/2019 |
| 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 | 20 Hamley Close |
| Address Line 2 | Burnham-on-sea |
| Address Line 3 | |
| Postcode | TA8 1DS |
| From | 29/05/2015 |
| To | 29/11/2019 |
| 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 |