NATO Medal - Kosovo (1999-2003) (Ribbon)
Standard ribbon used on a metal or plastic ribbon rack.
**** There are many different versions of the NATO medal.
This is The NATO Medal for Kosovo from 1999 - 2003.
If you deployed to Kosovo anywhere from 1999 to today, there are 3 different designs of the medal that you could have earned.
-NATO Medal for Kosovo, (1999 - 2003) which you are looking at here.
-NATO Non-Article 5 Medal for the Balkans (2003 - 2011 design)
-NATO Non-Article 5 Medal for the Balkans (2011-today design)
----Just to be clear, operations in Kosovo and the Balkans anywhere from 2003 - today are all part of the same mission, they just changed the design. So, they do not count as two separate awards, and you would not earn a star on your medal / ribbon for deployments in both of those time frames.
***In the US Military, you are supposed to wear the ribbon / medal of the first NATO operation you participated in. Every NATO Medal exists with a bar across the front (similar to the knots on the Good Conduct Medal) stating the name of the operation it was awarded for. In the US, we only wear the "basic portion / version" of the medal without the bar attached to the front according to regulation. This is because if we earn more than one different version of the medal, we wear stars attached to whichever medal we earned first to show additional awards. In other countries, they wear multiple NATO medals side-by-side instead of combining them into one.