Obverse: Winged Victory standing (front), a palm branch in her right hand, her left arm outstretched. Reverse: Within a laurel garland, inscription: 'THE GREAT WAR FOR CIVILIZATION. 1914-1919'. Inscription on edge: 'SURG. LT. CR. F.L.SMITH R.N.' Mounted court style with four others. Fitted with a ring and watered silk ribbon of rainbow hues.

Surgeon Rear-Admiral RN Frank Lewis Smith (1881-1942) was the son of a Whitby innkeeper and farmer - Ralph Smith. Frank received his medical training at St Thomas's Hospital. During World War I, he served in the dockyard and hospital at Pembroke up to 1916 and afterwards was medical officer of the cruiser 'Caroline' attached to the Grand Fleet. He was Surgeon-Commander in the aircraft carriers 'Hermes' and 'Furious'. From 1926 to 1932, he acted as assistant to the medical Director-General at the Admiralty. In 1931 he was promoted to the rank of Captain and during the 1930s he was head of the Royal Marine Infirmary at Deal. He retired with the rank of Surgeon Rear-Admiral in 1938, but was re-engaged during the Second World War, working in London and on the books of administrative base HMS 'President'. Smith died following a heart attack on a London bus. He has a Commonwealth War Graves Commission headstone at Gillingham. In 1915 he had married Gertrude Mary Thomas of Pembroke Dock and the couple had a daughter.