| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 31 The Broadway |
| Current Address Line 2 | |
| Current Address Line 3 | South Shields |
| Postcode | NE33 3NH |
| From | 01/11/2021 |
| 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 | 38 Marine Approach |
| Address Line 2 | |
| Address Line 3 | South Shields |
| Postcode | NE33 2TG |
| From | 01/04/2018 |
| To | 01/11/2021 |
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