[1] The Signum Sacri Itineris Hierosolymitani was established by Pope Leo XIII on 2 May 1901 to honour and to endorse pilgrimage to the Holy Places of Christianity in Palestine.

[1] A certificate from a parish priest was originally needed to attest to the morality of the candidate and affirm that there was a pious motive to undertake the voyage.

[1] The medal is never sent and can only be conferred at the office of the Custodian of the Holy Land in Jerusalem, belonging to the Franciscan Order.

[1] In the crossbars, there are four biblical scenes showing the early life and the ministry of Jesus with the inscription CHRISTI AMOR CRUCIFIXI TRAXIT NOS (The love of Christ crucified has attracted us):[1] In the center of the reverse, there is the image of the risen Christ.

The crossbars show four scenes of the Passion with the inscription SIGNUM SACRI ITINERIS HIEROSOL[YMITANI] (Sign of the holy voyage of Jerusalem):[1] The cross is suspended from a ribbon of red silk with four blue stripes in the middle.