| Heading and notes: | Form Number E.T. No. 1a. TELEGRAM - URGENT RATE in one or two lines. Four boxed sections. |
| Message area: | 30 boxes in six lines. |
| Reverse side: | Blank. |
| Colours (text & form): | Black on deep pink. |
| Size of form overall: | 127 × 201 mm. |
Details of use and rarity.
| Form sub-number |
Schedule number | Earliest recorded date | Rarity rating |
| TU-4A | Sched. C. 107 - 6/1926. | None seen used. | R |
| TU-4B | Sch. C220/1927. - Z7 | None seen used. | R |