document.writeln('<select name="dob_day" id="dob_day" class="t1" >');
document.writeln('<option value="1">1</option>');document.writeln('<option value="2">2</option>');document.writeln('<option value="3">3</option>');document.writeln('<option value="4">4</option>');document.writeln('<option value="5">5</option>');document.writeln('<option value="6">6</option>');document.writeln('<option value="7">7</option>');document.writeln('<option value="8">8</option>');document.writeln('<option value="9">9</option>');document.writeln('<option value="10">10</option>');document.writeln('<option value="11">11</option>');document.writeln('<option value="12">12</option>');document.writeln('<option value="13">13</option>');document.writeln('<option value="14">14</option>');document.writeln('<option value="15">15</option>');document.writeln('<option value="16">16</option>');document.writeln('<option value="17">17</option>');document.writeln('<option value="18">18</option>');document.writeln('<option value="19">19</option>');document.writeln('<option value="20">20</option>');document.writeln('<option value="21">21</option>');document.writeln('<option value="22">22</option>');document.writeln('<option value="23">23</option>');document.writeln('<option value="24">24</option>');document.writeln('<option value="25">25</option>');document.writeln('<option value="26">26</option>');document.writeln('<option value="27">27</option>');document.writeln('<option value="28">28</option>');document.writeln('<option value="29">29</option>');document.writeln('<option value="30">30</option>');document.writeln('<option value="31">31</option>');document.writeln('</select><select name="dob_month" id="dob_month" class="t1" >');
document.writeln('<option value="1">Jan</option>');document.writeln('<option value="2">Feb</option>');document.writeln('<option value="3">Mar</option>');document.writeln('<option value="4">Apr</option>');document.writeln('<option value="5">May</option>');document.writeln('<option value="6">Jun</option>');document.writeln('<option value="7">Jul</option>');document.writeln('<option value="8">Aug</option>');document.writeln('<option value="9">Sep</option>');document.writeln('<option value="10">Oct</option>');document.writeln('<option value="11">Nov</option>');document.writeln('<option value="12">Dec</option>');document.writeln('</select><select name="dob_year" id="dob_year" class="t1" >');
document.writeln('<option value="2008">2008</option>');document.writeln('<option value="2007">2007</option>');document.writeln('<option value="2006">2006</option>');document.writeln('<option value="2005">2005</option>');document.writeln('<option value="2004">2004</option>');document.writeln('<option value="2003">2003</option>');document.writeln('<option value="2002">2002</option>');document.writeln('<option value="2001">2001</option>');document.writeln('<option value="2000">2000</option>');document.writeln('<option value="1999">1999</option>');document.writeln('<option value="1998">1998</option>');document.writeln('<option value="1997">1997</option>');document.writeln('<option value="1996">1996</option>');document.writeln('<option value="1995">1995</option>');document.writeln('<option value="1994">1994</option>');document.writeln('<option value="1993">1993</option>');document.writeln('<option value="1992">1992</option>');document.writeln('<option value="1991">1991</option>');document.writeln('<option value="1990">1990</option>');document.writeln('<option value="1989">1989</option>');document.writeln('<option value="1988">1988</option>');document.writeln('<option value="1987">1987</option>');document.writeln('<option value="1986">1986</option>');document.writeln('<option value="1985">1985</option>');document.writeln('<option value="1984">1984</option>');document.writeln('<option value="1983">1983</option>');document.writeln('<option value="1982">1982</option>');document.writeln('<option value="1981">1981</option>');document.writeln('<option value="1980">1980</option>');document.writeln('<option value="1979">1979</option>');document.writeln('<option value="1978">1978</option>');document.writeln('<option value="1977">1977</option>');document.writeln('<option value="1976">1976</option>');document.writeln('<option value="1975">1975</option>');document.writeln('<option value="1974">1974</option>');document.writeln('<option value="1973">1973</option>');document.writeln('<option value="1972">1972</option>');document.writeln('<option value="1971">1971</option>');document.writeln('<option value="1970">1970</option>');document.writeln('<option value="1969">1969</option>');document.writeln('<option value="1968">1968</option>');document.writeln('<option value="1967">1967</option>');document.writeln('<option value="1966">1966</option>');document.writeln('<option value="1965">1965</option>');document.writeln('<option value="1964">1964</option>');document.writeln('<option value="1963">1963</option>');document.writeln('<option value="1962">1962</option>');document.writeln('<option value="1961">1961</option>');document.writeln('<option value="1960">1960</option>');document.writeln('<option value="1959">1959</option>');document.writeln('<option value="1958">1958</option>');document.writeln('<option value="1957">1957</option>');document.writeln('<option value="1956">1956</option>');document.writeln('<option value="1955">1955</option>');document.writeln('<option value="1954">1954</option>');document.writeln('<option value="1953">1953</option>');document.writeln('<option value="1952">1952</option>');document.writeln('<option value="1951">1951</option>');document.writeln('<option value="1950">1950</option>');document.writeln('<option value="1949">1949</option>');document.writeln('<option value="1948">1948</option>');document.writeln('<option value="1947">1947</option>');document.writeln('<option value="1946">1946</option>');document.writeln('<option value="1945">1945</option>');document.writeln('<option value="1944">1944</option>');document.writeln('<option value="1943">1943</option>');document.writeln('<option value="1942">1942</option>');document.writeln('<option value="1941">1941</option>');document.writeln('<option value="1940">1940</option>');document.writeln('<option value="1939">1939</option>');document.writeln('<option value="1938">1938</option>');document.writeln('<option value="1937">1937</option>');document.writeln('<option value="1936">1936</option>');document.writeln('<option value="1935">1935</option>');document.writeln('<option value="1934">1934</option>');document.writeln('<option value="1933">1933</option>');document.writeln('<option value="1932">1932</option>');document.writeln('<option value="1931">1931</option>');document.writeln('<option value="1930">1930</option>');document.writeln('<option value="1929">1929</option>');document.writeln('<option value="1928">1928</option>');document.writeln('<option value="1927">1927</option>');document.writeln('<option value="1926">1926</option>');document.writeln('<option value="1925">1925</option>');document.writeln('<option value="1924">1924</option>');document.writeln('<option value="1923">1923</option>');document.writeln('<option value="1922">1922</option>');document.writeln('<option value="1921">1921</option>');document.writeln('<option value="1920">1920</option>');document.writeln('<option value="1919">1919</option>');document.writeln('<option value="1918">1918</option>');document.writeln('<option value="1917">1917</option>');document.writeln('<option value="1916">1916</option>');document.writeln('<option value="1915">1915</option>');document.writeln('<option value="1914">1914</option>');document.writeln('<option value="1913">1913</option>');document.writeln('<option value="1912">1912</option>');document.writeln('<option value="1911">1911</option>');document.writeln('<option value="1910">1910</option>');document.writeln('</select>');