| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 3 Ash Grove |
| Current Address Line 2 | Kirklevington |
| Current Address Line 3 | Yarm |
| Postcode | TS15 9NQ |
| From | 01/11/2019 |
| 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 | 6 Usk Court |
| Address Line 2 | Ingleby Barwick |
| Address Line 3 | Stockton on Tees |
| Postcode | TS17 5EG |
| From | 01/05/2018 |
| To | 31/10/2019 |
| Previous Address (2) | |
| Address Line 1 | 11 High Church Wynd |
| Address Line 2 | |
| Address Line 3 | Yarm |
| Postcode | TS15 9BQ |
| From | 07/08/2017 |
| To | 30/04/2018 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
| Postcode | |
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