Watch List notes:

REPUBLIC OF TUNISIA
Medals

Oval Medaille, AR, Académie de Paris: Université René Descartes; on the edge one reads Habib Bourguiba,
Président de la République Tunisienne, 1974, 89.62g

This medal was usually awarded by the university along with a doctorate honoris causa. Possibly, this particular item could have been engraved uniquely for Habib Bourguiba himself.