| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 366B St Johns Lane |
| Current Address Line 2 | Bristol |
| Current Address Line 3 | |
| Postcode | BS3 5BA |
| From | 01/04/2018 |
| 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 | Flat 6 Canons Gate |
| Address Line 2 | Canons Way |
| Address Line 3 | Bristol |
| Postcode | BS1 5BL |
| From | 01/09/2016 |
| To | 31/03/2018 |
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| Previous Address (3) | |
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