- Period:
 - Second World War (1939-1945)
 - Unit:
  - 2. pluton, 1. kompania, Zgrupowanie Pulku Baszta, Armia Krajowa 
 - Awarded on:
  - 1957
 
"For the general activity, for the courageous attitude in the fighting at ul. Goszczyński on September 25, for remaining at the post in a shed providing a small defense under heavy fire, where he was wounded; also for active participation in patrols ."
Award was approved in 1957 by the commander of the regiment, Lieutenant Colonel Stanisław Kamiński "Daniel" and sent to London for verification.