| Heading and notes: | Form number E.T. No. 2. Standard interim heading. | 
| Message area: | 6 lines of 5 unnumbered boxes.. | 
| Reverse side: | Blank. | 
| Colours (text & form): | Black on cream. | 
| Size of form overall: | 171 × 215 mm. | 
|  | NI-TO-2. Transmission form with a copy of a message to be sent to Wallaroo. As copies of messages were difficult to acquire from a Telegraph Office, most businesses would take a carbon copy of the message for filing. Only one arc following the schedule number and so a first printing. | 
Details of use and rarity.
| Form sub-number | Schedule number | Earliest recorded date | Rarity rating | 
| TO-2. | St 3451. | 30 June 1911 at ?? | RRRR |