| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 27 Brackenley Lane |
| Current Address Line 2 | Embsay |
| Current Address Line 3 | Skipton |
| Postcode | BD23 6NW |
| From | 01/01/2022 |
| 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 | 16 Larkfields Crescent |
| Address Line 2 | Swanwick |
| Address Line 3 | Alfreton |
| Postcode | DE551EU |
| From | 15/10/2018 |
| To | 01/01/2022 |
| Previous Address (2) | |
| Address Line 1 | 261 Williamthorpe Road |
| Address Line 2 | North Wingfield |
| Address Line 3 | Chesterfield |
| Postcode | S425NU |
| From | 29/06/2015 |
| To | 15/10/2018 |
| Previous Address (3) | |
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| Address Line 2 | |
| Address Line 3 | |
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