Joint Service Achievement Medal SBBA~Double~11287DBR The action must have involved

The action must have involved personal hazard and a voluntary risk of life in the face of great danger or be if such significance that it stands out distinctly above normal expectations

United States Navy Miniature Expeditionary Warfare Specialist Insignia

The award becomes permanent after 5 years of cumulative time afloat

United States Army Male Shoulder Boards - Finance

Joint Service Achievement Medal SBBA~Double~11287DBR The action must have involvedJoint Service Achievement Medal The 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 recognized by a Commendation Medal. Subsequent awards are denoted by Oak Leaf