| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 1 Westminster Place |
| Current Address Line 2 | |
| Current Address Line 3 | Stoke on Trent |
| Postcode | ST4 8QY |
| From | 31/10/2020 |
| 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 | 26 Margaret Avenue |
| Address Line 2 | Trentham |
| Address Line 3 | Stoke on Trent |
| Postcode | ST4 8EE |
| From | 31/10/2019 |
| To | 31/10/2020 |
| Previous Address (2) | |
| Address Line 1 | 11 Grove Road |
| Address Line 2 | Stone |
| Address Line 3 | |
| Postcode | ST15 8DP |
| From | 15/05/2018 |
| To | 31/10/2019 |
| Previous Address (3) | |
| Address Line 1 | 12 Greenway |
| Address Line 2 | Trentham |
| Address Line 3 | Stoke on Trent |
| Postcode | ST4 8AW |
| From | 15/07/2006 |
| To | 15/05/2018 |