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Information i was able to find on this ribbon.
Dekoratie voor Trouwe Dienst (DTD) (1920) — The 'Decoration for Devoted Service', awarded to former officers for distinguished and especially meritorious service during the war (equivalent to the British Distinguished Service Order). Altogether, 645 decorations were granted, some of them posthumously.
Insignia: A silver circular medal, displaying the ZAR arms on a cross on one side and the OVS arms on a cross on the other, and the words 'Voor Trouwe Dienst 1899-1902' on both sides.