As with India, there had been pre-republic discussion of the medal, and a draft warrant and design - with the cipher of Queen Elizabeth II - had been drawn up but was never instituted.

Awarded for operational service rendered by military personnel from October 1947 to 1 January 1949 in the first Indo-Pakistan war in Kashmir.

Awarded to recognise the services of the personnel employed on border defence duties in KASHMIR between 1 January 1964 and 5 September 1965 (both days inclusive).

Awarded to recognise the services of the personnel employed in the RANN of KUTCH operations between 6 April 1965 and 30 June 1965.

The Clasp "KUTCH 1965" was conferrable on the following categories of personnel: Pakistan Army: If they were borne on the strength or were attached to a Formation, Unit or Detachment employed on border defence duties in the operational areas between 6 April 1965 and 30 June 1965 (both days inclusive) and remained as such for at least 21 days.

Personnel of the Army Aviation shall be eligible if they carried out one operational sortie between 6 April 1965 and 30 June 1965 (both days inclusive).

The Clasp "KUTCH 1965" to the TAMGHA-E-DIFFA was also conferrable on the following personnel, who served in the operational areas, irrespective of the duration of their stay in that area, namely: Awarded since 1984 to Army personnel posted along the Siachen Glacier in Skardu with the FCNA and NLI.