The Royal Family Order depicts a young Queen Elizabeth II in evening dress wearing the ribbon and star of the Order of the Garter. The miniature, painted on ivory, is bordered by diamonds and surmounted by a Tudor Crown in diamonds and red enamel. The reverse, in silver-gilt, is patterned with rays and depicts the royal cypher and St. Edward's Crown in gold and enamel. The watered silk ribbon is chartreuse yellow and formed into a bow. It is worn pinned to the dress of the recipient on the left shoulder.
HRH Princess Alice, Countess of Athlone, first cousin twice removed of Queen Elizabeth II (Princess Alice was a granddaughter of Queen Victoria and first cousin to George V, Elizabeth II's grandfather. Princess Alice was also a great grand aunt of Queen Elizabeth II through her marriage to Queen Mary's younger brother)