| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 19 Saffron Close, |
| Current Address Line 2 | Barton under Needwood, |
| Current Address Line 3 | Burton-on-Trent |
| Postcode | DE13 8DL |
| From | 10/12/1999 |
| If you have been living at your current address for less than 5 years, please add more addresses below | |
| Previous Address (1) | |
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| Previous Address (2) | |
| Address Line 1 | |
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| Previous Address (3) | |
| Address Line 1 | 19 Saffron Close, Barton under Needwood, Burton-on-Trent |
| Address Line 2 | 19 Saffron Close |
| Address Line 3 | Barton under Needwood |
| Postcode | DE13 8DL |
| From | 10/12/1999 |
| To | 22/08/2025 |