| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | Flat 11 |
| Current Address Line 2 | 46, New House Farm Drive |
| Current Address Line 3 | Northfield |
| Postcode | B31 2GP |
| From | 09/12/2021 |
| 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 | 56, Quarry Lane |
| Address Line 2 | Northfield |
| Address Line 3 | |
| Postcode | B31 2PY |
| From | 01/07/2020 |
| To | 09/12/2021 |
| Previous Address (2) | |
| Address Line 1 | 22 |
| Address Line 2 | Fernside Gardens |
| Address Line 3 | Moseley |
| Postcode | B13 9JD |
| From | 17/08/2017 |
| To | 01/07/2020 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
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