| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 9 Belvoir Close |
| Current Address Line 2 | Kirk Hallam |
| Current Address Line 3 | Ilkeston |
| Postcode | DE7 4ND |
| From | 01/08/2019 |
| 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 Awsworth Road |
| Address Line 2 | Ilkeston |
| Address Line 3 | Derbyshire |
| Postcode | DE7 8JD |
| From | 01/08/2017 |
| To | 01/08/2019 |
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