| Heading and notes: | Form number E.T. No. 2. Heading changed to RECEIVED TELEGRAM. | 
| Message area: | Blank - occupies nearly half of the form. | 
| Reverse side: | Blank. | 
| Colours (text & form): | Blue on white. | 
| Size of form overall: | 128 × 202 mm. | 
| Size of datestamp box: | 34 × 36 mm. | 
|  | AB-DO-4A. Adelaide to Woolahra Characteristics: 
 This form has the message typed by the teleprimter on ticker tape which was then pasted onto the form. | 
|  | AB-DO-4B. Nedlands, WA to Summer Hill, NSW Characteristics: 
 | 
|  | AB-DO-4C. Hindmarsh to Port Germain Specific characteristics: 
 | 
|  | AB-DO-4D. Goulburn to Leura Specific characteristics: 
 | 
| Another example of this form addressed to Penfold's Wines in November 1930 can be seen elsewhere. | 
Details of use and rarity.
| Form sub-number | Schedule number | Earliest recorded date | Rarity rating | 
| DO-4A | Sched. C 107 - 6/1926 | 8 December 1926 at the Chief Telegraph Office, Sydney. | C | 
| DO-4B | Sch. C. 220 - 1927. - Z9-10. | 16 March 1928 at CTO Melbourne. | C | 
| DO-4C | Sch. C.337. 7/1928. | 29 April 1929 at Port Germein, SA. | C | 
| DO-4Da | Sch. C. 337/1928 - C.9086.- B.2028. | 13 March 1929 at Katoomba. | C | 
| DO-4Db | C.9086.- B.2028. | 2 August 1929 at CTO Melbourne. | R |