| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 18 |
| Current Address Line 2 | Sheepwash Way |
| Current Address Line 3 | East Leake |
| Postcode | LE12 6WJ |
| From | 26/03/2022 |
| 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 | 17 |
| Address Line 2 | Farley Crescent |
| Address Line 3 | Ibstock |
| Postcode | LE67 6AN |
| From | 20/12/2020 |
| To | 26/03/2022 |
| Previous Address (2) | |
| Address Line 1 | 171 |
| Address Line 2 | Rugeley Road |
| Address Line 3 | Chase Terrace |
| Postcode | WS71NS |
| From | 01/02/2018 |
| To | 20/12/2020 |
| Previous Address (3) | |
| Address Line 1 | 6 |
| Address Line 2 | Nuthatch Close |
| Address Line 3 | Cannock |
| Postcode | WS11 7LS |
| From | 01/09/2016 |
| To | 01/02/2018 |