<?

PHP
$cutoff=1910;
$now=date('Y');
echo '<select name="year">'.PHP_EOL;
for($y=$now; $y>=$cutoff; $y--) {
echo ' <option value=" ' .$y.'">' .$y. '</option>' .PHP_EOL;
}
echo '</select>' .PHP_EOL;

echo '<select name="month">' . PHP_EOL;

for($m=1; $m<=12; $m++){

echo '<option value=" '. $m .'">' .date('M', mktime(0,0,0,$m)). '</option>'
.PHP_EOL;
}
echo '</select>' . PHP_EOL;

echo '<select name="day">' . PHP_EOL;

for($d=1; $d<=30; $d++){

echo '<option value=" '. $d .'">' .$d. '</option>' .PHP_EOL;
}
echo '</select>' . PHP_EOL;

?>