Housing Buddy Replacement form

Replacement Form

Please fill in the form below (By Client only).
Housing Buddy Client ID: (e.g HBXYZ)
Full Name

PrefixFirst NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Whats App Number

Area CodePhone Number
Best time to reach you?
E-mail
Would you prefer communicating via email?
Date registration /Part payment made?

MonthDayYear
Date
Part payment?
Date balance payment made?

MonthDayYear
Date
Extra/Waiting Days for first deployment ??
Balance payment?
Date first Deployment received?

MonthDayYear
Date
Current date when you requested deployment/replacement?

MonthDayYear
Date
How Many replacement/ deployment received till date?
Date First Deployment Relieved?

MonthDayYear
Date
Reason for leaving (First deployment)
Work Load/Work Done (e.g cook for how many people or cleaning for xyz sqf) etc..)
Salary offered / Paid by you
Last date when Salary paid??

MonthDayYear
Date
Salary Paid for which month?
How many total month he/she worked?
Name of Deployment?

First NameLast Name
First Deployment Id proof

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First Deployment Photo

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First Deployment PVR

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Housing Buddy Contract / Agreement receipt at the time of first deployment or replacement.

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Any waiting period more than asked?
Additional Remarks based on your first deployment experience (It would help Housing buddy to place same deployment to other client's place, based on your remarks.)
How Much do you rate your first deployment?
Date first Replacement requested?

MonthDayYear
Date
Date first Replacement received?

MonthDayYear
Date
Name of replacement?

First NameLast Name
First Replacement Id proof

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First Replacement Photo

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First Replacement PVR

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Housing Buddy Contract / Agreement receipt at the time of First Replacement.

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Cancelof
Work Load/Work Done (e.g cook for how many people or cleaning for xyz sqf) etc..)
Reason for leaving?
Salary offered?
How many months worked?
Recommendation yes or no?
Rate Your Replacement
Date second Replacement requested?

MonthDayYear
Date
Date Second Replacement received?

MonthDayYear
Date
Name of replacement?

First NameLast Name
2nd Replacement's Id proof

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2nd Replacement's Photo

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2nd Replacement's PVR

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Housing Buddy Contract / Agreement receipt at the time of 2nd Replacement.

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Cancelof
Work Load/Work Done (e.g cook for how many people or cleaning for xyz sqf) etc..)
Reason for leaving?
Salary offered?
How many months worked?
Recommendation yes or no?
Rate Your Replacement
Date 3rd Replacement requested?

MonthDayYear
Date
Date 3rd Replacement received?

MonthDayYear
Date
Name of replacement?

First NameLast Name
3rd Replacement's Id proof

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3rd Replacement's Photo

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3rd Replacement's PVR

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Housing Buddy Contract / Agreement receipt at the time of 3rd Replacement.

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Cancelof
Work Load/Work Done (e.g cook for how many people or cleaning for xyz sqf) etc..)
Reason for leaving?
Salary offered?
How many months worked?
Recommendation yes or no?
Rate Your Replacement
Date 4th Replacement requested?

MonthDayYear
Date
Date 4th Replacement received?

MonthDayYear
Date
Name of replacement?

First NameLast Name
4th Replacement's Id proof

Browse Files

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4th Replacement's Photo

Browse Files

Cancelof
4th Replacement's PVR

Browse Files

Cancelof
Housing Buddy Contract / Agreement receipt at the time of 4th Replacement.

Browse Files

Cancelof
Work Load/Work Done (e.g cook for how many people or cleaning for xyz sqf) etc..)
Reason for leaving?
Salary offered?
How many months worked?
Recommendation yes or no?
Rate Your Replacement
Please explain your current replacement (s) request in details. (Not more than 5 allowed in first 6 months or in a year from date registration. )
Should be Empty:

Replacement Form