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If a soldier begins service full time on federal service the become ineligible for the award and become eligible for the Army Good Conduct medal
Subsequent presentations of the award are denoted by award numerals worn on the original medal
Coast Guard Distinguished Service Medal
Subsequent awards are denoted by wearing a bronze Oak Leaf Cluster on the medal or service ribbon
Air Force Combat Action Medal sbb?_w=153 If a soldier begins serviceAir Force Combat Action Medal Criteria: The Air Force Combat Action Medal (AFCAM) is granted to airmen who directly took part in active combat, whether it was in the air or on the ground while serving their official duty. In order to receive this award the airman's involvement must be documented and submitted by a person with first hand knowledge of the incident to the first O 6 in their operational chain of command. This is then processed through the
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