| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 19 Geneva Way |
| Current Address Line 2 | Biddulph |
| Current Address Line 3 | Stoke-On-Trent |
| Postcode | ST8 7FE |
| From | 16/12/2016 |
| 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 | 50 Berkshire Drive |
| Address Line 2 | Congleton |
| Address Line 3 | |
| Postcode | CW12 1SB |
| From | 01/10/2011 |
| To | 16/12/2016 |
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