| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 61 High Meadows |
| Current Address Line 2 | Midsomer Norton |
| Current Address Line 3 | Radstock |
| Postcode | BA3 2RZ |
| From | 01/05/2019 |
| 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 | The Hook |
| Address Line 2 | Somer Road |
| Address Line 3 | Midsomer Norton |
| Postcode | BA3 2SA |
| From | 01/02/2018 |
| To | 30/04/2019 |
| Previous Address (2) | |
| Address Line 1 | Two Jays |
| Address Line 2 | 37a Wellow Lane |
| Address Line 3 | Peasedown St John |
| Postcode | BA2 8HY |
| From | 17/12/2007 |
| To | 01/02/2018 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
| Postcode | |
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