| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 294 Jockey Road |
| Current Address Line 2 | Sutton Coldfield |
| Current Address Line 3 | West Midlands |
| Postcode | B73 5XL |
| From | 25/11/2016 |
| 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 | Apartment 68 |
| Address Line 2 | Centenary Plaza |
| Address Line 3 | Birmingham |
| Postcode | B1 1TB |
| From | 01/01/2014 |
| To | 25/11/2016 |
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