<select name="zone_id" id="input-zone"
class="form-control"><option value=""> --- Please Select ---
</option><option value="1475">Andaman and Nicobar
Islands</option><option value="1476">Andhra
Pradesh</option><option value="1477">Arunachal
Pradesh</option><option
value="1478">Assam</option><
option value="1479">Bihar</option>< option value="1480">Chandigarh</ option><option
value="1481">Dadra and Nagar Haveli</option><option
value="1482">Daman and Diu</option><option
value="1483">Delhi</option>< option value="1484">Goa</option>< option value="1485">Gujarat</option>< option value="1486">Haryana</option>< option
value="1487">Himachal Pradesh</option><option
value="1488">Jammu and Kashmir</option><option
value="1489">Karnataka</ option><option value="1490">Kerala</option>< option
value="1491">Lakshadweep Islands</option><option
value="1492">Madhya Pradesh</option><option
value="1493">Maharashtra</ option><option value="1494">Manipur</option>< option value="1495">Meghalaya</ option><option value="1496">Mizoram</option>< option value="1497">Nagaland</option> <option value="1498">Orissa</option>< option value="1499">Pondicherry</ option><option value="1500">Punjab</option>< option value="1501">Rajasthan</ option><option value="1502">Sikkim</option>< option value="1503">Tamil Nadu</option>
<option value="2000">Telangana</option>
<option value="1504">Tripura</option>< option value="1505">Uttar Pradesh</option><option value="1506">West Bengal</option></select>