| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 51c Tamworth Road |
| Current Address Line 2 | Lichfield |
| Current Address Line 3 | |
| Postcode | WS14 9EY |
| From | 17/12/2021 |
| 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 | 123 chesterfield road |
| Address Line 2 | Lichfield |
| Address Line 3 | |
| Postcode | WS14 0AA |
| From | 18/03/2020 |
| To | 17/12/2021 |
| Previous Address (2) | |
| Address Line 1 | 6 the sycamores |
| Address Line 2 | Lichfield |
| Address Line 3 | |
| Postcode | WS14 9ES |
| From | 31/08/2018 |
| To | 18/03/2020 |
| Previous Address (3) | |
| Address Line 1 | 71 Ferndale road |
| Address Line 2 | Lichfield |
| Address Line 3 | |
| Postcode | Ws13 7dl |
| From | 01/03/2004 |
| To | 31/08/2018 |