The Nishan-e-Pakistan (Grand Cross of the Order of Pakistan) is the second highest grade of the highest ranking order given by the Government of Pakistan. The honour may be given to a citizen from a foreign country. Richard Nixon,[1] Mahathir Mohamad,[2] Dwight D. Eisenhower, Queen Elizabeth II and Nelson Mandela were among the foreigners. The award was created on 19 March 1957.