The obverse of this medal bears the head of King Edward VII facing left with the legend 'EDWARD VII REX ET IMPERATOR'. The reverse depicts a map of the world with a transport vessel and the inscription 'OB PATRIAM MILITIBUS PER MARE TRANSVECTIS ADJUTAM' (For services rendered in transporting troops by sea). The medal is attached to the ribbon by a plain straight swivelling suspender as found on the Queens South Africa Medal.
Two clasps were awarded and a recipient could receive one or two clasps. The clasps were 'SOUTH AFRICA 1899-1902' and 'CHINA 1900'.
The ribbon is 1.25" wide and is red with two broad dark blue stripes at either side. The naming is in impressed square capitals.
The recipient's rank is not given except for Masters who had the words 'IN COMMAND' appended after the name.
This medal was awarded to ship masters, first, second, third and chief Officers, first, second, third and chief Engineers as well as Pursers and Surgeons. The medal was also presented to those who served in 11 hospital ships employed during the two conflicts.