| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 11 Beau Gardens |
| Current Address Line 2 | Marton |
| Current Address Line 3 | Middlesbrough |
| Postcode | TS7 8EN |
| From | 01/04/2021 |
| 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 | 31 Stonebridge Crescent |
| Address Line 2 | Ingleby Barwick |
| Address Line 3 | Stockton on Tees |
| Postcode | TS17 5AZ |
| From | 14/03/2016 |
| To | 01/04/2021 |
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