| Please provide details of your current address and all previous addresses to cover a continuous 5 year period. | |
| Current Address Line 1 | 85 Sherbourne Avanue |
| Current Address Line 2 | |
| Current Address Line 3 | Nuneaton |
| Postcode | cv10 9jf |
| From | 01/07/2022 |
| 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 | 7 Aldermoor Lane |
| Address Line 2 | |
| Address Line 3 | Coventry |
| Postcode | CV3 1BS |
| From | 01/01/2022 |
| To | 01/07/2022 |
| Previous Address (2) | |
| Address Line 1 | 3 Henson Road |
| Address Line 2 | |
| Address Line 3 | Bedworth |
| Postcode | CV12 0DL |
| From | 01/01/2012 |
| To | 01/01/2022 |
| Previous Address (3) | |
| Address Line 1 | |
| Address Line 2 | |
| Address Line 3 | |
| Postcode | |
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