On the original version, the medal has a plain silver cross, 1.75 inches in width. For mounting, the ring welded to the top of the cross is joined to the plain straight suspender ring by a small ring. On the obverse, each arm of the cross is an Imperial Crown and in the centre of the cross is the Imperial and Royal Cypher of the reigning sovereign (GV, GVI, or EIIR). The reverse is plain with the year of the award engraved on the lower arm. A watered white ribbon, 1.375 inches wide, with a central purple stripe.