Joint Service Achievement Anodized Medal Rating Badges Subsequent awards are annotated with

Subsequent awards are annotated with the traditional oak leaf clusters

First issued in 1923

issue and load munitions and small arms

Personally provided hands-on employment of a weapon system that had direct and immediate impact on a named combat operation

United States Navy Enlisted Gold Lace on Blue Hashmarks / Service Stripes - Female Size

Joint Service Achievement Anodized Medal Rating Badges Subsequent awards are annotated withJoint Service Achievement Anodized 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