| Heading and notes: | Form No. 147 COMMONWEALTH OF AUSTRALIA added above previous colonial heading. | 
| Message area: | Blank. | 
| Reverse side: | Blank. | 
| Colours (text & form): | Black on cream. | 
| Size of form overall: | 214 × 08 mm. | 
| Size of datestamp box: | 28 × 31 mm. | 
|  | IQI-DC-1. Unknown origin sent to Cainns | 
|  | Cairns Urgent delivery envelope with mss CABLE and used for the above delivery form. Characteristics: 
 | 
Details of use and rarity.
| Form sub-number | Schedule number | Earliest recorded date | Rarity rating | 
| DC-1 | None | 20 February 1913 at Cairns, Qld. | RRRR |