| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 26 Arch Street |
| Current Address Line 2 | Brereton |
| Current Address Line 3 | Rugeley |
| Postcode | WS15 1DL |
| From | 01/09/2019 |
| 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 | 5 Hereford Way |
| Address Line 2 | Rugeley |
| Address Line 3 | |
| Postcode | WS15 1GP |
| From | 05/05/2011 |
| To | 01/09/2019 |
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