 In practice, Rav Aluf Amnon Lipkin-Shahak (the only person to be awarded the medal twice whilst still alive) wore two ribbons.The medal is minted by the Israel Government Coins and Medals Corporation, is made of 25 gram silver/935 and the clasp is chrome plated metal.To this day 220 awards have been made, the latest were in 2005 after a period of 23 years in which the medal was not awarded.