| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 6 Barry Avenue |
| Current Address Line 2 | Stoke-on-trent |
| Current Address Line 3 | |
| Postcode | ST2 8AD |
| From | 11/02/2024 |
| 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 | 18 Caernarvon Avenue |
| Address Line 2 | Stone |
| Address Line 3 | |
| Postcode | ST15 8YW |
| From | 13/12/2021 |
| To | 10/02/2024 |
| Previous Address (2) | |
| Address Line 1 | 3 cottage Street |
| Address Line 2 | Dudley |
| Address Line 3 | |
| Postcode | DY5 1re |
| From | 01/07/2019 |
| To | 13/12/2021 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
| Postcode | |
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