| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | Stanford House |
| Current Address Line 2 | Denstone Lane, Alton |
| Current Address Line 3 | Stoke on Trent |
| Postcode | ST10 4AX |
| From | 01/09/2017 |
| 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 | 3 Poppyfields |
| Address Line 2 | Denstone |
| Address Line 3 | Staffordshire |
| Postcode | St14 5GB |
| From | 20/09/2009 |
| To | 01/09/2017 |
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