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the award is presented to members of the U
a 12-mile forced road march
United States Air Force Nurse Corps Badges
Subsequent awards are annotated with the traditional oak leaf clusters
Joint Service Achievement Anodized Medal Rating Badges the award is presented toJoint 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
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