| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 33 Walsall Road |
| Current Address Line 2 | Churchbridge |
| Current Address Line 3 | Cannock |
| Postcode | WS11 8JT |
| From | 08/08/2019 |
| 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 | 18 Love Lane |
| Address Line 2 | Great Wyrely |
| Address Line 3 | Stafforshire |
| Postcode | WS6 6NN |
| From | 22/08/2014 |
| To | 08/08/2019 |
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| Previous Address (3) | |
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