| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 35 Percival Drive |
| Current Address Line 2 | Stockton Brook |
| Current Address Line 3 | Stoke On Trent |
| Postcode | ST9 9PE |
| From | 01/05/2021 |
| 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 | 9 Braithwell Drive |
| Address Line 2 | Milton |
| Address Line 3 | Stoke On Trent |
| Postcode | ST2 7NT |
| From | 01/12/2016 |
| To | 30/04/2021 |
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