| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 54 Ferndown Drive |
| Current Address Line 2 | Newcastle under Lyme |
| Current Address Line 3 | Staffordshire |
| Postcode | st5 4bp |
| From | 06/07/2018 |
| 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 | 33 Darsham Gardens |
| Address Line 2 | Westbury Park |
| Address Line 3 | Newcastle under Lyme |
| Postcode | ST5 4LW |
| From | 13/12/2013 |
| To | 06/07/2018 |
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