This was an award for valor specifically given to those beings whose biological sex could not be classified as either male or female. Determining whether or not an individual qualified for this award was usually extremely awkward.
"During the Battle of Endor, A-Wing Pilot Chris Cschlub shot down 2 TIE fighters, and disabled 2 TIE Interceptors. He also destroyed a buttload of greebles and nurnies on the Super Star Destroyer Executor, before it was taken down. As of the writing of this award, he has the most "kills" of any known intersexed individual in Alliance history. His actions bring great credit upon himself, hermaphrodites, and the Alliance. Now we'd appreciate it if you would please go away."