| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 42 pound road |
| Current Address Line 2 | oldbury |
| Current Address Line 3 | west midlands |
| Postcode | b68 8ly |
| From | 01/07/2021 |
| 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 | 32 majuba road |
| Address Line 2 | edgbaston |
| Address Line 3 | birmingham |
| Postcode | b16 0pa |
| From | 01/09/1997 |
| To | 01/07/2021 |
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