| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | The Laurels 87 Shirrall Drive |
| Current Address Line 2 | Drayton Bassett |
| Current Address Line 3 | Tamworth |
| Postcode | B78 3EG |
| From | 26/08/2021 |
| 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 | 1 Waters Drive |
| Address Line 2 | Four Oaks |
| Address Line 3 | Sutton Coldfield |
| Postcode | B74 4TQ |
| From | 01/07/1993 |
| To | 25/08/2021 |
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