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T&AVR Efficiency Medal EIIR Stacked Ribbon Bars Removing the Medals Removing the Medals this award was originally known as the Conspicuous Service Cross and was issued for gallantry in presence of the enemy to warrant and subordinate officers of the RN who were ineligible (on account of their rank) for the Distinguished Service Order The qualifying period of 12 years remained the same The T&AVR Efficiency Medal
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