| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 41 Wells Road |
| Current Address Line 2 | Radstock |
| Current Address Line 3 | |
| Postcode | BA3 3RX |
| From | 22/09/2023 |
| 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 Sunnymead |
| Address Line 2 | Midsomer Norton |
| Address Line 3 | |
| Postcode | BA32TA |
| From | 16/10/2020 |
| To | 22/09/2023 |
| Previous Address (2) | |
| Address Line 1 | 22 Brick Cottages |
| Address Line 2 | Highbury Street |
| Address Line 3 | Coleford |
| Postcode | ba35nu |
| From | 22/09/2019 |
| To | 16/10/2020 |
| Previous Address (3) | |
| Address Line 1 | Woodside House |
| Address Line 2 | Swanbridge Road |
| Address Line 3 | Sully |
| Postcode | CF645UF |
| From | 01/01/2009 |
| To | 22/09/2019 |