| Last and first name | LUBURIC NADA |
| Day, month and year of birth, and place of birth | 1926. Ljubuski |
| Weapon (duty) and rank (active or reserve), date of recruitment into U.O.S. | Ustase official of Stara Gradiska camp 19. 10. 1942 |
| Unit (exact description of duty) | Ustase official of Stara Gradiska camp |
| Short description of the action (date, place, evidence, sketches) | 31. 12. 1943, 1. 1. 1944, and 6. I 1944. She stood out in bravery and self-sacrifice in saving and transporting of wounded, she is also meritorious for saving a large number of wounded and for aiding them in a timely manner. [written note illegible] |
| Being proposed for (decoration, promotion, commendation) | For decoration with the Bronze Medal of the Poglavnik for courage |
| Witnesses | Commander of the III Battalion, Captain S. Bosak |
| Married, single, place of birth, occupation as a civilian, schools finished as a civilian or in the army | ./. Ljubuski, 4 grades of elementary school |
| Date and signature of the sponsor | 10 January 1944. Commander of the III Battalion Ustase Captain S. Bosak |
| Endorsement of higher officials | [written note illegible] |
