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Guilded Metal Kriegsmarine Sleeve Career Insignia

Not to be confused with the normal machine embroidered Kriegsmarine Career Insignia, this example is the impressive metal version in this case featuring the Caduceus crossed with an anchor in guilded metal, indicating a medical career.
Below the anchor is a single chevron of a Sanitatsobermaat or Obersanitatsmaat all mounted on a blue woollen covered zinc plate. On the reverse are the manufacture’s initials A.M.S and 41.
Overall condition is excellent unissued.