It could be awarded to members of the South African Defence Force from 1 January 1983, for operational service inside South Africa in the prevention or suppression of terrorism or internal disorder, or the preservation of life, health or property, or the maintenance of essential services and law and order, or crime prevention.

[3][5] The medal could be awarded from 1 January 1983, to serving members of all ranks of the South African Defence Force for operational service inside South Africa in the prevention or suppression of terrorism or internal disorder, or the preservation of life, health or property, or the maintenance of essential services and law and order, or crime prevention.

In effect, it also served as a campaign medal for the State of Emergency operations against Umkhonto we Sizwe (MK) and the Azanian People's Liberation Army (APLA) from 1985 to 1990.

[2] The position of the General Service Medal in the official order of precedence was revised three times after 1987, to accommodate the inclusion or institution of new decorations and medals, first upon the integration into the South African National Defence Force in 1994, again in April 1996, when decorations and medals were belatedly instituted for the two former non-statutory forces, the Azanian People's Liberation Army and Umkhonto we Sizwe, and finally upon the institution of a new set of honours on 27 April 2003, but it remained unchanged, as it was on 27 April 1994, on the latter two occasions.

Only the Maluti Clasp was authorized, struck in bronze with a hole at each end to allow it to be sewn onto the medal ribbon.