To insert that HTML into a form 3 times, you could simply perform it in a loop.
HTML:
<form id="myForm"></form>
jQuery:
$(function() {
var $form = $('#myForm'); // Grab a reference to the form
// Append your HTML, updating the ID attributes to keep HTML valid
for(var i = 1; i <= 3; i++) {
$form.append('<div><div>Name: <input type="text" id="name' + i + '"></div><div>Address: <input type="text" id="address' + i + '"></div></div>')
}
});
As far as fetching values, how you go about it would depend on your intent. jQuery can serialize the entire form, or you can select individual input values.
.append() - http://api.jquery.com/append/