| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 14 St James Road |
| Current Address Line 2 | Barton Under Needwood |
| Current Address Line 3 | |
| Postcode | DE13 8HY |
| From | 19/04/2021 |
| 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 | 4 Foxglove Close |
| Address Line 2 | Pelsall |
| Address Line 3 | Walsall |
| Postcode | WS3 5PD |
| From | 10/12/2020 |
| To | 19/04/2021 |
| Previous Address (2) | |
| Address Line 1 | 50 Peake Road |
| Address Line 2 | Walsall |
| Address Line 3 | |
| Postcode | WS8 7BY |
| From | 09/08/2015 |
| To | 10/12/2020 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
| Postcode | |
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