nurses and others employed in military hospitals who actually served in France or Belgium between the 5th August 1914 and midnight of 22-23rd November 1914

GSM 1962 onwards South Vietnam clasp

ornamented by the Crown may be issued to DSC holders performing a further act of such gallantry which would have merited award of the DSC

The King George VI issue remains one of the most historically significant versions of the decoration due to its association with the Second World War and the rapid expansion of military aviation during the period

The medal was instituted to obviate the need for an exchange of medals between the allies

EFFICIENCY DECORATION 1952-69 Category_Full Size Ribbon Bars nurses and others employed inTerritorial Decoration awarded with the green ribbon with central yellow stripe until 1982 when it was combined into a single Decoration emcompassing the AER and T&AVR, the ribbon was then standardised to half blue half green with a central yellow stripe. This can also be awarded with the HAC ribbon to members of the HAC who qualify for the award.