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For 30 days' service with NATO's KFOR in Kosovo, or 90 days' service in support of the mission in Italy, Greece or Hungary.

The obverse of the medal has the NATO star emblem, in a wreath of olive leaves. The reverse has the words "NORTH ATLANTIC TREATY ORGANISATION" around the outer edge, and the "IN SERVICE OF PEACE AND FREEDOM" in the centre, both of which are also in French. There was one clasp issued with the medal, which is the KOSOVO clasp.

The ribbon is blue with a central white stripe and white edges.

Numerals are worn on the ribbon if the recipient had completed multiple tours.