| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 21 Roseacre |
| Current Address Line 2 | Newcastle under Lyme |
| Current Address Line 3 | Staffordshire |
| Postcode | ST5 2LS |
| From | 01/06/2020 |
| 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 Morley Mills |
| Address Line 2 | Morley Street |
| Address Line 3 | Daybrook |
| Postcode | NG5 6JL |
| From | 01/05/2019 |
| To | 01/06/2020 |
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