| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 1 Grove Terrace |
| Current Address Line 2 | Boston Spa |
| Current Address Line 3 | Wetherby |
| Postcode | LS236AS |
| From | 07/12/2018 |
| 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 | 1 Queens Road |
| Address Line 2 | Boston Spa |
| Address Line 3 | Wetherby |
| Postcode | LS23 6AS |
| From | 27/04/2017 |
| To | 07/12/2018 |
| Previous Address (2) | |
| Address Line 1 | 25 Moor Avenue |
| Address Line 2 | Clifford |
| Address Line 3 | Wetherby |
| Postcode | LS23 6JZ |
| From | 01/05/2016 |
| To | 27/04/2017 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
| Postcode | |
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