- Period:
 - Second World War (1939-1945)
 - Rank:
  - Schütze (Private/Rifleman)
 - Unit:
  - 5. Kompanie, II. Bataillon, Infanterie-Regiment 36, 9. Infanterie-Division, Heer 
 - Awarded on:
  - August 25th, 1942
 
Was upgraded to the Silver version  in relation to the severity of the wound.