| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 4 Norfolk Close |
| Current Address Line 2 | Westbury Park |
| Current Address Line 3 | Newcastle-Under-Lyme |
| Postcode | ST5 4JY |
| From | 09/01/2023 |
| 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 | 64 Central Drive |
| Address Line 2 | Blurton |
| Address Line 3 | Stoke-On-Trent |
| Postcode | ST3 2AP |
| From | 20/01/2022 |
| To | 09/01/2023 |
| Previous Address (2) | |
| Address Line 1 | 6 Maple Avenue |
| Address Line 2 | Crackley |
| Address Line 3 | Newcastle-Under-Lyme |
| Postcode | ST5 7BN |
| From | 08/06/1999 |
| To | 20/01/2022 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
| Postcode | |
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