Select Lists - Date of Birth


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  1. <select id="form_dob_month" name="dob_month">
  2. <option value="-">-</option>
  3. <option value="1">January</option>
  4. <option value="2">Febuary</option>
  5. <option value="3">March</option>
  6. <option value="4">April</option>
  7. <option value="5">May</option>
  8. <option value="6">June</option>
  9. <option value="7">July</option>
  10. <option value="8">August</option>
  11. <option value="9">September</option>
  12. <option value="10">October</option>
  13. <option value="11">November</option>
  14. <option value="12">December</option>
  15. <select id="form_dob_day" name="dob_day">
  16. <option value="-">-</option>
  17. <option value="1">1</option>
  18. <option value="2">2</option>
  19. <option value="3">3</option>
  20. <option value="4">4</option>
  21. <option value="5">5</option>
  22. <option value="6">6</option>
  23. <option value="7">7</option>
  24. <option value="8">8</option>
  25. <option value="9">9</option>
  26. <option value="10">10</option>
  27. <option value="11">11</option>
  28. <option value="12">12</option>
  29. <option value="13">13</option>
  30. <option value="14">14</option>
  31. <option value="15">15</option>
  32. <option value="16">16</option>
  33. <option value="17">17</option>
  34. <option value="18">18</option>
  35. <option value="19">19</option>
  36. <option value="20">20</option>
  37. <option value="21">21</option>
  38. <option value="22">22</option>
  39. <option value="23">23</option>
  40. <option value="24">24</option>
  41. <option value="25">25</option>
  42. <option value="26">26</option>
  43. <option value="27">27</option>
  44. <option value="28">28</option>
  45. <option value="29">29</option>
  46. <option value="30">30</option>
  47. <option value="31">31</option>
  48. <select id="form_dob_year" name="dob_year">
  49. <option value="-">-</option>
  50. <option value="2011">2011</option>
  51. <option value="2010">2010</option>
  52. <option value="2009">2009</option>
  53. <option value="2008">2008</option>
  54. <option value="2007">2007</option>
  55. <option value="2006">2006</option>
  56. <option value="2005">2005</option>
  57. <option value="2004">2004</option>
  58. <option value="2003">2003</option>
  59. <option value="2002">2002</option>
  60. <option value="2001">2001</option>
  61. <option value="2000">2000</option>
  62. <option value="1999">1999</option>
  63. <option value="1998">1998</option>
  64. <option value="1997">1997</option>
  65. <option value="1996">1996</option>
  66. <option value="1995">1995</option>
  67. <option value="1994">1994</option>
  68. <option value="1993">1993</option>
  69. <option value="1992">1992</option>
  70. <option value="1991">1991</option>
  71. <option value="1990">1990</option>
  72. <option value="1989">1989</option>
  73. <option value="1988">1988</option>
  74. <option value="1987">1987</option>
  75. <option value="1986">1986</option>
  76. <option value="1985">1985</option>
  77. <option value="1984">1984</option>
  78. <option value="1983">1983</option>
  79. <option value="1982">1982</option>
  80. <option value="1981">1981</option>
  81. <option value="1980">1980</option>
  82. <option value="1979">1979</option>
  83. <option value="1978">1978</option>
  84. <option value="1977">1977</option>
  85. <option value="1976">1976</option>
  86. <option value="1975">1975</option>
  87. <option value="1974">1974</option>
  88. <option value="1973">1973</option>
  89. <option value="1972">1972</option>
  90. <option value="1971">1971</option>
  91. <option value="1970">1970</option>
  92. <option value="1969">1969</option>
  93. <option value="1968">1968</option>
  94. <option value="1967">1967</option>
  95. <option value="1966">1966</option>
  96. <option value="1965">1965</option>
  97. <option value="1964">1964</option>
  98. <option value="1963">1963</option>
  99. <option value="1962">1962</option>
  100. <option value="1961">1961</option>
  101. <option value="1960">1960</option>
  102. <option value="1959">1959</option>

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