Wikipedia
Tamgha-e-Imtiaz
Tamgha-i-Imtiaz , English: Medal of Excellence, is a state organised honour of State of Pakistan. It is the fourth-highest decoration given to any civilian in Pakistan based on their achievements. While, it is a civilian award, it can also be bestowed upon military officers of the Pakistan Armed Forces and worn on the uniform. The award is not limited to the citizens of Pakistan, and can be awarded to foreign citizens who have done great service to Pakistan.