| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 2 Fenn St |
| Current Address Line 2 | |
| Current Address Line 3 | Tamworth |
| Postcode | B77 2LP |
| From | 01/06/2018 |
| 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 | Flat 1 |
| Address Line 2 | 103 Renaissance court |
| Address Line 3 | Bradford street |
| Postcode | B12 0nf |
| From | 01/09/2017 |
| To | 01/06/2018 |
| Previous Address (2) | |
| Address Line 1 | 99 Ascot Drive, Dosthill, Tamworth, Dosthill |
| Address Line 2 | staffs |
| Address Line 3 | |
| Postcode | B77 1ql |
| From | 01/02/2014 |
| To | 01/09/2017 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
| Postcode | |
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