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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
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the patches are also minimally reflective to visible light for covert operations
Worn to identify combat service with 11th Armored Cavalry Regiment
Coast Guard Auxiliarist Operations Device SBBA~Double~MCR-68115 The Joint Service Achievement MedalUnited States Coast Guard Auxiliarist Operations Device Criteria: Auxiliarists wear the Auxiliarist Operations (AUXOP) Device, instead of the Specialty Training ribbon, after completing all specialty courses. Auxiliarists wear it on the right, immediately above the name tag on all but Dinner Dress uniforms. On the Dinner Dress Blue, males wear it above the pocket, while females wear it in the same relative position. On the Dinner Dress White or Blue
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