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Cross · Japan
日本赤十字社銀色有功章
(opens the image page on Wikimedia Commons)Insignia image: 中沖豊 (derivative work 朝彦)CC BY-SA 3.0Wikimedia Commons

Ribbon image: beaverCC0Wikimedia Commons
The Silver Merit Medal of the Japanese Red Cross Society (日本赤十字社銀色有功章) is a commemorative decoration awarded by the Japanese Red Cross Society to people who have engaged in Red Cross volunteer activities for many years, contributed large sums to the Society’s funds or made substantial donations, and contributed to blood donation. There are two types: shield-shaped and cup-shaped. The higher-ranking commemorative decoration is the Japanese Red Cross Society Gold Merit Medal.
Translated from the Japanese Wikipedia (article), under CC BY-SA 4.0.