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Picture courtesy of Spink

QSA (4) Cape Colony, Paardeberg, Driefontein, Wittebergen (65 Cpl R. J. Fairish. C.M.S.C.).

No attestation paper.

David,
Many thanks for your reply. I'm afraid that the QSA to Harms has now passed on to collections new in order to fund future bids.
Kind regards,
Steve

Picture courtesy of Morton and Eden

QSA (4) Cape Colony Orange Free State, Belfast, South Africa 1901 (Pte J. D. Duff. C.M.S.C.).

M7E say Private J.D. Duff of the Irregular Company, Cape Medical Staff Corps, is confirmed on the medal rolls.

Picture courtesy of eBay

QSA (Pte W. Downie C.M.S.C.)

Correctly identified as the Cape MC in the description.