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The NDSM is the National Defense Service Medal, established in 1953 for all branches of the US Armed Services. It is normally received by ALL service members who are on active duty during various conflicts. For this reason, the associated ribbon is often called the "Gedunk Ribbon" in the US Navy - the term gedunk refers to a canteen or snack area aboard ship, and you get the medal as easily as getting a snack out of a machine.

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Q: What is the NDSM medal?
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What is ndsm on a erb?

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