Tiffany Cross Medal of Honor at the risk of his life above and beyond the call of duty and without detriment to his mission." This pendant became the "Tiffany Cross". The "Tiffany Cross" is suspended from the classic light blue Medal of Honor ribbon with 13 white stars. At the ribbon top is a bar with the word "VALOUR". The medal is a gold cross pattée overlaying an oak and laurel wreath on the obverse side, with an antique anchor in each arm of the cross. The center, overlaying the cross, is an octagon with the phrases "UNITED STATES NAVY" to the top and "1917·1918"
Royal Naval Volunteer Reserve Long Service and Good Conduct Medal were initially hung from the same all-green ribbon inherited from the Volunteer Long Service Medal, until a new ribbon was introduced for the Royal Naval Volunteer Reserve Long Service and Good Conduct Medal in 1919. When a third identical medal, the Royal Naval Auxiliary Sick Berth Reserve Long Service and Good Conduct Medal, impressed "R.N.A.S.B.R.", was added to the group in 1919, a clasp to recognise further periods of long service in respect of all three medals was authorised in an Admiralty Fleet Order. This was followed in 1942 by the approval of a ribbon bar rosette, to denote the