It is suspended from three enamelled paulownia leaves (not chrysanthemum leaves as the Decoration Bureau page claims) on a ribbon in white with red border stripes, worn as a sash from the right shoulder for the Grand Cordon, as a necklet for the 2nd and 3rd Classes and on the left chest for the 4th to 6th Classes (with a rosette for the 4th Class).
It is suspended from three enamelled paulownia leaves (not chrysanthemum as the Decoration Bureau page claims) on a ribbon in white with red border stripes, worn as a sash on the right shoulder for the 1st Class, as a necklet for the 2nd and 3rd Classes, on the left chest for the 4th to 6th Classes (with a rosette for the 4th Class).