How to solve this type of dropdown lists?

Alitalia3421

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Hi,how to solve this type of dropdown lists?
http://www.boonex.us/join.php


Can I use branch constructor?Which value I need choice?
Thanks a lot!
 

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Type in the box with something like 1989-03-18
You can generate dates randomly. There is no need to click.
 
I cannot type word directly in this blank in the project maker,but I use branch constructor solve this problem.slect set type and outertext attribute and done.Thanks.
 

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