| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | Apartment 23 City Walk |
| Current Address Line 2 | 69 Irving Street |
| Current Address Line 3 | |
| Postcode | B1 1dh |
| From | 02/11/2023 |
| 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 | 59 temple street |
| Address Line 2 | West bromwich |
| Address Line 3 | |
| Postcode | B70 9AF |
| From | 11/02/1994 |
| To | 01/11/2023 |
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