| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 45 Bank Street |
| Current Address Line 2 | Chesterfield |
| Current Address Line 3 | Derbyshire |
| Postcode | S40 1BW |
| From | 24/11/2022 |
| 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 | 195 Toton Lane |
| Address Line 2 | Stapleford |
| Address Line 3 | Nottingham |
| Postcode | NG9 7JD |
| From | 01/07/2022 |
| To | 24/11/2022 |
| Previous Address (2) | |
| Address Line 1 | 32 Heyworth Street |
| Address Line 2 | Derby |
| Address Line 3 | Derbyshire |
| Postcode | DE22 3DL |
| From | 01/06/2019 |
| To | 01/07/2022 |
| Previous Address (3) | |
| Address Line 1 | 195 Toton Lane |
| Address Line 2 | Stapleford |
| Address Line 3 | Nottingham |
| Postcode | NG9 7JD |
| From | 01/09/2004 |
| To | 01/06/2019 |