United States: Army Achievement Medal (Instituted 1981). With 3 x 'Silver Oakleaf Clusters' n riband

The three 'Silver Oakleaf Clusters' indicate that the wearer of the medal had received an additional 15 x further awards = a total of 16 x awards of the Army Achievement Medal Awarded for meritorious service or achievement while serving in a non-combat area. Condition: EF