NATO ISAF (International Security Assistance Force) Anodized Miniature Medal E-6 Staff Sergeant awards may also be given

awards may also be given to acknowledge single acts of merit or heroism

Criteria: This Dress Shirt Garter Y Style is manufactured with high quality elastic

Stars are added at the top to indicate subsequent awards: one star for the second award

The action must have taken place under one of the following circumstances: While serving in active combat against enemy forces

The squares represent the states of Washington and Oregon

NATO ISAF (International Security Assistance Force) Anodized Miniature Medal E-6 Staff Sergeant awards may also be givenNATO ISAF (International Security Assistance Force) Anodized Miniature Medal The ISAF (International Security Assistance Force) Medal is a decoration presented to recognize personnel who have participated in the NATO led security mission in Afghanistan. The mission was originally assembled to support the establishment of the Afghan Transitional Administration in Kabul, but in October 2003 it was expanded to cover all of Afghanistan. To be eligible,