US JSAM | US Joint Service Achievement Medal Size:Miniatures / Evening Wear the Queen Elizabeth II Silver

the Queen Elizabeth II Silver Jubilee Medal holds a different place in each country's order of precedence for honours

The ribbon is plain dark blue and the ribbon bar is distinguished by the placement of a small replica of the cross at the centre

*A silver rosette may be awarded for OP MAIDENLY and OP BARRAS to be worn on the Sierra Leone OSM to signify service in a more dangerous area/period of conflict

182 awards had been made with 13 first Bars and three second Bars

The Burma clasp was issued for the Pacific Star

US JSAM | US Joint Service Achievement Medal Size:Miniatures / Evening Wear the Queen Elizabeth II SilverThe Joint Service Achievement Medal (JSAM) is a decoration presented by the United States Secretary of Defense to officers below the grade of O 6 and enlisted members below the grade of E 7 who, while serving in a joint military command or activity, have performed either an exceptional achievement or commendable service that has not been recognised by a Commendation Medal. Subsequent awards are denoted by Oak Leaf Clusters worn on the service medal.