| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 131 Whitecrest |
| Current Address Line 2 | Great Barr |
| Current Address Line 3 | Birmingham |
| Postcode | B43 6ES |
| From | 12/06/2021 |
| 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 | 21 Nether Hall Avenie |
| Address Line 2 | Great Barr |
| Address Line 3 | Birmingham |
| Postcode | B43 7EU |
| From | 01/03/2020 |
| To | 12/06/2021 |
| Previous Address (2) | |
| Address Line 1 | 37 Wimperis Way |
| Address Line 2 | Great Barr |
| Address Line 3 | Birmingham |
| Postcode | B43 7DL |
| From | 15/11/2013 |
| To | 01/03/2020 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
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