| Heading and notes: | Form number E.T. No. 3. REPLY PAID TELEGRAM for top half and PREPAID REPLY TELEGRAM for lower half. | 
| Message area: | Blank in top section and 25 boxes in five lines in lower section. | 
| Reverse side: | Blank. | 
| Colours (text & form): | Black on green. | 
| Size of form overall: | 266 × 205 mm. | 
|  Printed in 1923 or 1924. | AB-RO-3A. Unused complete form with two sections. Characteristics: 
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|  | AB-RO-3B. Ararat to Richmond, Vic. Top section of form only. Characteristics: 
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|  Probably printed in early 1926. | AB-RO-3C. Launceston to Whitemark, Tas. Top section of form only. Characteristics: 
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Details of use and rarity.
| Form sub-number | Schedule number | Earliest recorded date | Rarity rating | 
| RO-3A | A 9240 (probably a Stores number). | RRRR as a complete form. RRR (top half) - lower half not recorded. | |
| RO-3B | Not on top half. | 9 June 1925 at Richmond, Vic. | |
| RO-3C | Not on top half. | 21 November 1929 at Whitemark, Tas. |