Circular silvered bronze medal on double kukri and ribbon bar suspension; the face with a stylised landscape, the Himalayan Mountains beyond, the Nepalese flag on the highest central peak, circumscribed below on a ribbon in Nepali characters; the reverse dated ‘2020’ centrally (V.S. 2020 = A.D. 1963), circumscribed in Nepali characters; on original ribbon. The medal was instituted in 1963 to be awarded for service in extreme conditions at altitude in the Himalayas. Following the abolition of the Nepalese monarchy in June 2008, the Medal is no longer awarded and is not often found. Condition I-II.