| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 374 Burton Road |
| Current Address Line 2 | Midway |
| Current Address Line 3 | Swadlincote |
| Postcode | DE117ND |
| From | 10/05/2024 |
| 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 | 44 Darklands Road |
| Address Line 2 | Swadlincote |
| Address Line 3 | Derbyshire |
| Postcode | DE110PQ |
| From | 27/03/2020 |
| To | 10/05/2024 |
| Previous Address (2) | |
| Address Line 1 | 8 Appleby Glade |
| Address Line 2 | Castle Gresley |
| Address Line 3 | Swadlincote |
| Postcode | DE119EJ |
| From | 05/05/2017 |
| To | 27/03/2020 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
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