| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 7 Cornwall Street |
| Current Address Line 2 | Longton |
| Current Address Line 3 | Stoke on Trent |
| Postcode | ST3 1DN |
| From | 11/08/2023 |
| 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 | 42 Bridgewood Street |
| Address Line 2 | Longton |
| Address Line 3 | Stoke on Trent |
| Postcode | Staffordshire |
| From | 26/05/2023 |
| To | 11/08/2023 |
| Previous Address (2) | |
| Address Line 1 | 83 Kendrick Street |
| Address Line 2 | Longton |
| Address Line 3 | Stoke on Trent |
| Postcode | ST3 1HN |
| From | 28/02/2020 |
| To | 26/05/2023 |
| Previous Address (3) | |
| Address Line 1 | 42 Bridgewood Street |
| Address Line 2 | Longton |
| Address Line 3 | Stoke on Trent |
| Postcode | ST3 1LN |
| From | 01/05/2016 |
| To | 28/02/2020 |