(Kruis van Verdienste van Nederlandsche Roode Kruis). Instituted in 1914. Multi-piece construction, in silver gilt with red, white and green enamels, unmarked, measuring 40 mm (w) x 64 mm (h) inclusive of its crown and laterally-pierced ball suspension, intact enamels, residue evident on the obverse beside the centrepiece, very light contact overall, original ribbon, near extremely fine.