| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 19 Milton Avenue |
| Current Address Line 2 | Alfreton |
| Current Address Line 3 | Derbyshire |
| Postcode | DE55 7LA |
| From | 28/05/2021 |
| 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 | 32 Talbot Street |
| Address Line 2 | Pinxton |
| Address Line 3 | Nottinghamshire |
| Postcode | NG16 6PD |
| From | 12/12/2012 |
| To | 28/05/2021 |
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