Double ribbon has wide red stripe down middle with yellow stripes on either side. Small safety pin sewn to back. End of ribbon has an oval shape cloisonne decorative shape with green leaves in shape of wreath, bow at bottom, small red bead at top. Attached to this is the medal itself. The middle is probably St. Gregory, dark blue background, gold printing around him, from this shape are four red cloisnne, end are V's with small knobs on each point of the V. Back has same shape, blue in the middle and gold around it.