Customer Registration | Shree Shyam Healthcare

SHREE SHYAM HEALTHCARE

Deals in: Physiotherapy, Home Nursing, Elder Care, Baby Care, GD Staff & Total Domestic Services.

Office: Gauriya Math, Near Bank of Baroda, Mithapur, Patna - 1 | 📞 +91 8092908511

CUSTOMER REGISTRATION FORM

Client Details

Client Name *

Client Mobile No. *

Client Aadhar No. *

Full Address *

Staff & Service Requirement Details

Assigned Staff Name (If known)

Staff Mobile No.

Staff Aadhar No.

Monthly Salary Agreed (Rs.) *

Joining Date *

Working Hours Requirement *

8 Hours 10 Hours 12 Hours 24/7 Hours (Live-in)

Terms and Conditions

15 days advance payment is mandatory.
If you do not give 2 days leave in a month, the agency will deduct 2 days' money.
If the staff is not working well, the agency will provide a replacement.
If you want to stop the service, please inform 7 days in advance.

I have read and agree to the Terms and Conditions stated above.