| Heading and notes: | Form number E.T. No. 3. URGENT TELEGRAM in one line underneath standardised interim heading. | 
| Message area: | Blank. | 
| Reverse side: | Blank. | 
| Colours (text & form): | Black on orange-pink paper. | 
| Size of form overall: | 174 × 221 mm. | 
| Size of datestamp box: | 33 × 34 mm. | 
|  | TI-DU-2. Rialto, Vic to Stanley Characterustics: 
 | 
Details of use and rarity.
| Form sub-number | Schedule number | Earliest recorded date | Rarity rating | 
| DU-2 | B28796...6. | 3 February 1911 at Stanley. | RR |