| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 13 Melbourne Road |
| Current Address Line 2 | West Bridgford |
| Current Address Line 3 | Nottingham |
| Postcode | NG2 5BG |
| From | 13/10/2020 |
| 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 | 27 Danesby Rise |
| Address Line 2 | Ripley |
| Address Line 3 | Derbyshire |
| Postcode | DE5 8RG |
| From | 01/09/2016 |
| To | 13/10/2020 |
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