| Heading and notes: | Form number T.G. 41A. URGENT TELEGRAM in two lines in central box. | 
| Message area: | 25 boxes in 5 lines. | 
| Reverse side: | blank. | 
| Colours (text & form): | Black on white paper with pink stripe. | 
| Size of form overall: | 98 × 192 mm. | 
|  Provenance: Dave Elsmore. | AW-TU-9. Unused transmission form. 
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Details of use and rarity.
| Form sub-number | Schedule number | Earliest recorded date | Rarity rating | 
| TU-9 | 42/68141. | RR |