[select* birth-month include_blank "فروردین" "اردیبهشت" "خرداد" "تیر" "مرداد" "شهریور" "مهر" "آبان" "آذر" "دی" "بهمن" "اسفند" id:birth-month class:input-field]

[select* birth-year include_blank "1334" "1335" "1336" "1337" "1338" "1339" "1340" "1341" "1342" "1343" "1344" "1345" "1346" "1347" "1348" "1349" "1350" "1351" "1352" "1353" "1354" "1355" "1356" "1357" "1358" "1359" "1360" "1361" "1362" "1363" "1364" "1365" "1366" "1367" "1368" "1369" "1370" "1371" "1372" "1373" "1374" "1375" "1376" "1377" "1378" "1379" "1380" "1381" "1382" "1383" "1384" "1385" "1386" id:birth-year class:input-field]