| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 19 Beamhill road |
| Current Address Line 2 | |
| Current Address Line 3 | Burton-on-trent |
| Postcode | DE13 0AE |
| From | 29/05/2024 |
| 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 | 68 DERBY ROAD |
| Address Line 2 | |
| Address Line 3 | BURTON-ON-TRENT |
| Postcode | DE141RW |
| From | 26/07/2020 |
| To | 28/05/2024 |
| Previous Address (2) | |
| Address Line 1 | 11 MOORSIDE CRESCENT |
| Address Line 2 | SINFIN |
| Address Line 3 | DERBY |
| Postcode | DE24 9PH |
| From | 01/12/2007 |
| To | 25/07/2020 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
| Postcode | |
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