| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 9 Bagwall Crescent |
| Current Address Line 2 | Darlaston |
| Current Address Line 3 | West Midlands |
| Postcode | WS10 8WA |
| From | 10/07/2020 |
| 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 | 271 Old Walsall Road |
| Address Line 2 | Great Barr |
| Address Line 3 | Birmingham |
| Postcode | B42 1HY |
| From | 28/02/2019 |
| To | 10/07/2020 |
| Previous Address (2) | |
| Address Line 1 | 88 Stanton Road |
| Address Line 2 | Great Barr |
| Address Line 3 | Birmingham |
| Postcode | B43 5HG |
| From | 01/01/2010 |
| To | 28/02/2019 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
| Postcode | |
| From | |
| To |