The use of Cuff Titles in Germany originated in the 19th century, but up to World War II they had only been used to denote membership or elite status in military units and paramilitary organizations. This form of recognition was first used to denote participation in campaign after the Spanish Civil war, but in the Second World War it was the Campaign Shield that was initially used for this purpose.
By July 1942 there where three Campaign Shields and as the war went on the number of campaigns to be commemorated increased. Being that there was an obvious limit to the number of space-consuming shields that an individual may wear, Germany turned to Cuff Titles, instituting several of them as officially recognized campaign awards.
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