| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | Flat 2 Phoenix Place, 41-43 Gresham Road, 41-43 Gresham Road |
| Current Address Line 2 | |
| Current Address Line 3 | STAINES-UPON-THAMES |
| Postcode | TW18 2BZ |
| From | 01/09/2021 |
| 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 | 1 Hill View |
| Address Line 2 | Heath End |
| Address Line 3 | Newbury |
| Postcode | RG20 0AP |
| From | 01/01/2020 |
| To | 31/08/2021 |
| Previous Address (2) | |
| Address Line 1 | 163 Glen Iris Road |
| Address Line 2 | Glen Iris |
| Address Line 3 | Melbourne |
| Postcode | 3146 |
| From | 01/01/2018 |
| To | 31/12/2019 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
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