| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 34 Jonathan Road |
| Current Address Line 2 | Trentham |
| Current Address Line 3 | Stoke on Trent |
| Postcode | ST4 8LP |
| From | 20/12/2020 |
| 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 | Upper Farm |
| Address Line 2 | Shut Lane Head |
| Address Line 3 | Butterton |
| Postcode | ST5 4DS |
| From | 21/05/2018 |
| To | 20/12/2020 |
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