<p class="select">
    <span>{l s='Date of Birth'}</span>
    <select id="days" name="days">
        <option value="">-</option>
        {foreach from=$days item=day}
            <option value="{$day|escape:'htmlall':'UTF-8'}" {if ($sl_day == $day)} selected="selected"{/if}>{$day|escape:'htmlall':'UTF-8'}&nbsp;&nbsp;</option>
        {/foreach}
    </select>
    {*
        {l s='January'}
        {l s='February'}
        {l s='March'}
        {l s='April'}
        {l s='May'}
        {l s='June'}
        {l s='July'}
        {l s='August'}
        {l s='September'}
        {l s='October'}
        {l s='November'}
        {l s='December'}
    *}
    <select id="months" name="months">
        <option value="">-</option>
        {foreach from=$months key=k item=month}
            <option value="{$k|escape:'htmlall':'UTF-8'}" {if ($sl_month == $k)} selected="selected"{/if}>{l s="$month"}&nbsp;</option>
        {/foreach}
    </select>
    <select id="years" name="years">
        <option value="">-</option>
        {foreach from=$years item=year}
            <option value="{$year|escape:'htmlall':'UTF-8'}" {if ($sl_year == $year)} selected="selected"{/if}>{$year|escape:'htmlall':'UTF-8'}&nbsp;&nbsp;</option>
        {/foreach}
    </select>
</p>

<input type="hidden" name="is_new_customer" id="is_new_customer" value="0">

<input type="hidden" name="city" value="no" />
<input type="hidden" name="postcode" value="000000" />
<input type="hidden" name="address1" value="no" />
<input type="hidden" name="phone" value="700000000" />
<input type="hidden" name="id_country" value="177" />
<input type="hidden" name="id_state" value="320" />

{foreach from=$dlv_all_fields item=field_name}
...
{/foreach}
{if $stateExist eq false}
<p class="required id_state select">
    <label for="id_state">{l s='State'}</label>
    <select name="id_state" id="id_state">
        <option value="">-</option>
    </select>
    ^*
</p>
{/if}