| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 29 Kingfisher Road |
| Current Address Line 2 | Mansfield |
| Current Address Line 3 | Nottinghamshire |
| Postcode | NG19 6EG |
| From | 22/09/2017 |
| 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 | 8 Beaumont Avenue |
| Address Line 2 | Mansfield |
| Address Line 3 | Nottinghamshire |
| Postcode | NG18 3LF |
| From | 01/08/1997 |
| To | 22/09/2017 |
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