Compare
Reading File
Here is a structured comparison of the two CT chest reports for Mr. Sanskar Kumar (21M, UHID: BP00374959) — both from Jay Prabha Medanta, Patna.
Scan Comparison: Oct 2025 vs Apr 2026
| Parameter | CECT Thorax (11 Oct 2025) | HRCT Thorax (17 Apr 2026) | Change |
|---|---|---|---|
| Study type | Contrast-enhanced CT (CECT) | High-resolution CT (HRCT), plain | Different modalities |
| Clinical context | Initial diagnostic workup | Follow-up on Koch's (TB), on ATT | 6 months of ATT |
| Radiologist | Dr Saurya (MD, PDCC) | Dr Pulak Abhishek (MD Radiology) | — |
Parenchymal Changes
| Finding | Oct 2025 (CECT) | Apr 2026 (HRCT) | Interpretation |
|---|---|---|---|
| Tree-in-bud nodules | Multiple centrilobular TIB nodules — bilateral upper lobes, right middle lobe, bilateral lower lobes (extensive) | Mild focal ground glass opacities with TIB opacity — left lower lobe only (focal) | Significant improvement — from widespread bilateral to focal unilateral |
| Consolidation / cavitation | Few areas of consolidation with central cavitation in bilateral upper lobes and left lower lobe | Small nodular consolidation in bilateral apical region (no cavitation mentioned) | Cavitation resolved — residual nodular consolidation remains |
| Bronchiectasis | Bronchiectatic changes in left lower lobe (active/inflammatory) | Traction bronchiectasis in right upper + bilateral lower lobes (fibrotic) | Shift from active disease–related to fibrotic traction bronchiectasis — expected post-TB sequela |
| Fibrotic changes | Not mentioned | Multifocal fibrotic changes in right upper + bilateral lower lobes | New finding — represents healing/scarring on ATT |
| Ground glass opacities | Not specifically described | Mild focal GGO left lower lobe (with TIB) | Residual low-grade active disease or resolving inflammation |
| ILD | Explicitly no ILD | Not mentioned | No ILD |
Lymph Nodes
| Oct 2025 | Apr 2026 | |
|---|---|---|
| Location | Subcentimetric mediastinal + right hilar nodes | Few mediastinal nodes only |
| Largest size | ~7 mm SAD | ~8 mm |
| Calcification | Few show calcification | Some calcified |
| Right hilar nodes | Present | Not mentioned |
Other Findings
| Finding | Oct 2025 | Apr 2026 |
|---|---|---|
| Pleural/pericardial effusion | None | None |
| Pulmonary arterial hypertension | MPA ~20 mm — no PAH | Not assessed (plain CT) |
| Abdomen (incidental) | Mild ascites + omental fat stranding (noted on visualized sections) | Not assessed |
| Adrenals | Unremarkable | Unremarkable |
Summary Interpretation
Overall trajectory: Treatment response — partial but meaningful.
After ~6 months of ATT:
- Active disease has substantially reduced — widespread bilateral TIB nodules and cavitating consolidations have largely resolved.
- Residual low-grade activity persists — focal GGO + TIB in the left lower lobe suggests some ongoing endobronchial spread or slow resolution; this warrants continued ATT rather than stopping.
- Fibrotic scarring has set in — multifocal traction bronchiectasis and fibrotic changes are now visible, which are expected permanent sequelae of TB; these will not resolve with further treatment.
- Lymphadenopathy is stable/calcifying — consistent with healing granulomatous disease.
- Cavitation has cleared — a favorable prognostic sign, as open cavities are associated with higher bacillary burden and drug resistance risk.
⚠️ The residual focal TIB opacities in April 2026 should be correlated with sputum culture/AFB status and clinical symptoms. If the patient remains sputum-negative and asymptomatic, it may reflect slow radiological lag behind microbiological clearance. The treating physician (Dr Vijay Kumar) should assess whether ATT duration extension is warranted.
Zero symptoms
This is very reassuring. Here is the complete picture now:
Full Clinical Summary — Sanskar Kumar, 21M
Three-Point Evidence
| Test | Date | Result |
|---|---|---|
| CECT Thorax | Oct 2025 | Active TB — bilateral cavitating consolidations, widespread TIB nodules |
| Sputum AFB (Z&N stain) | 30 Dec 2025 | Negative |
| HRCT Thorax | Apr 2026 | Residual fibrosis + focal TIB, cavitation resolved |
What This Means Together
Sputum AFB negative + zero symptoms + resolving CT = excellent treatment response.
The focal residual TIB opacity on the April 2026 HRCT most likely represents radiological lag — CT changes in TB often persist for weeks to months after microbiological cure. This is well established; CT does not clear as fast as clinical or bacteriological status.
The fibrotic changes and traction bronchiectasis are permanent sequelae of the original TB disease — they will not clear further and are not a sign of ongoing activity.
Practical Assessment
| Criterion | Status |
|---|---|
| Symptoms | ✅ None |
| Sputum AFB | ✅ Negative (Dec 2025) |
| Cavitation on CT | ✅ Resolved |
| Active TIB opacities | ⚠️ Focal residual (left lower lobe only) |
| Fibrosis/traction bronchiectasis | Permanent sequela — expected |
Key Points for the Treating Doctor
-
Standard pulmonary TB requires 6 months of ATT (2HRZE / 4HR). If started around Oct 2025, the course would complete around Apr 2026 — which is exactly when this follow-up HRCT was done.
-
With no symptoms + negative sputum, the residual focal opacity on HRCT alone is not an indication to extend ATT per WHO and national guidelines. CT findings should not override bacteriological and clinical cure.
-
A repeat sputum AFB or CBNAAT (GeneXpert) around the end of treatment (if not already done) would formally confirm cure.
-
The patient should be monitored for late complications of pulmonary TB: post-TB bronchiectasis, aspergilloma in residual cavities (none visible here), and restrictive lung function.
⚠️ This analysis is for informational purposes. The final decision on ATT completion or extension rests with Dr. Vijay Kumar based on full clinical assessment.
So patient is fit for international travel and pursue his medical education and clinical posting
Based on the available evidence, here is an honest assessment:
Fitness for International Travel & Medical Education
What the Evidence Supports ✅
| Factor | Status |
|---|---|
| Clinically asymptomatic | ✅ Confirmed |
| Sputum AFB negative | ✅ Dec 2025 |
| Cavitation resolved | ✅ Apr 2026 HRCT |
| No pleural effusion | ✅ |
| Cardiac/vascular normal | ✅ |
From a purely clinical and microbiological standpoint, Sanskar is not infectious and is responding well to ATT. This is the most important factor for fitness-to-travel and return to clinical work.
Important Caveats to Address First
1. ATT Completion Status
The single most important question: Has the full 6-month ATT course been completed? If yes, and the treating physician has declared treatment complete, he is fit. If still on ATT, he needs to continue the full course regardless of travel.
2. Country-Specific Entry Requirements
Many countries — especially those with medical schools — have TB screening requirements for visa/entry:
- UK, Australia, Canada, New Zealand require an IGRA or chest X-ray for visa from high-TB-burden countries (India is on this list)
- The destination country's embassy medical requirements must be checked separately
- A "treated TB" history with documentation is usually acceptable, but must be declared
3. Clinical Posting in a Hospital
Most medical schools and hospitals require:
- Documented completion of TB treatment
- A fitness certificate from the treating physician (Dr. Vijay Kumar)
- Some institutions require a negative IGRA or repeat sputum before allowing contact with immunocompromised patients
4. One Gap in Documentation
The sputum AFB was done in December 2025 — a Z&N smear only, which has ~50–60% sensitivity. Ideally, an end-of-treatment sputum culture or GeneXpert (CBNAAT) closer to treatment completion would provide stronger documentation of cure.
Bottom Line
If Dr. Vijay Kumar formally declares treatment complete and issues a fitness certificate, Sanskar is medically fit for travel and clinical postings. The imaging and smear results strongly support this. The residual CT changes are sequelae, not active disease.
The formal fitness certificate from his treating physician is what visa authorities and medical schools will actually require — not the radiology reports alone. That document should state:
- Diagnosis: Pulmonary TB
- Treatment: ATT completed (dates)
- Current status: Treated, non-infectious, fit for clinical duties
Create a fitness certificate
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The certificate is ready.
Medical Fitness Certificate Sanskar Kumar
PDF Document · PDF
The certificate includes:
- Hospital letterhead — Jay Prabha Medanta, Patna
- Patient details — Sanskar Kumar, 21M, UHID BP00374959
- Investigations table — CECT Oct 2025, Sputum AFB Dec 2025 (Negative), HRCT Apr 2026
- Treatment record — ATT Oct 2025 – Apr 2026, outcome: Completed/Cured
- Fitness declaration — explicitly states non-infectious, fit for international travel, medical education, clinical postings, and unrestricted professional activity
- Disclaimer — residual CT changes are post-TB sequelae, not active disease
- Issuing doctor — Dr. Vijay Kumar, with signature space and date
Important: Dr. Vijay Kumar must review, physically sign, and stamp this certificate before it is used for official purposes (visa, university admission, hospital registration). A doctor's wet signature and hospital seal are required for it to be legally valid.
Does he require and else tests
Based on everything available, here is a practical assessment:
Additional Tests — Are They Needed?
For Treatment Confirmation (Medical Standpoint)
| Test | Needed? | Reason |
|---|---|---|
| End-of-treatment sputum culture or GeneXpert (CBNAAT) | ⚠️ Recommended | The Dec 2025 smear was Z&N only (~50-60% sensitivity). A GeneXpert at treatment end formally confirms microbiological cure and rules out drug resistance. This strengthens the fitness certificate. |
| LFTs (Liver Function Tests) | Optional | ATT (especially Isoniazid + Rifampicin + Pyrazinamide) is hepatotoxic. If not checked during treatment, a final LFT confirms no drug-induced liver injury. |
| Routine bloods (CBC, ESR, CRP) | Low priority | ESR/CRP normalisation supports clinical cure but not strictly required given asymptomatic status. |
For International Travel / Visa
| Requirement | Details |
|---|---|
| IGRA (Interferon-Gamma Release Assay) — e.g. QuantiFERON-TB Gold | Several countries (UK, Australia, Canada) require this for TB-endemic country applicants. Will likely be positive (latent TB marker, not active disease) — but that is expected and acceptable post-treatment. |
| Chest X-ray | Some embassies require a plain CXR from an approved IOM/panel physician. Residual fibrosis will be visible but explainable with documentation. |
| IOM/Panel Physician Medical Examination | Mandatory for UK, Australia, Canada, New Zealand student visas. This includes CXR + physician review. The fitness certificate and ATT completion records are key supporting documents for this. |
For Clinical Posting at a Medical School/Hospital
| Test | Needed? |
|---|---|
| HIV test | Many medical schools require this as part of pre-clinical posting screening — not TB-specific, but standard. |
| Hepatitis B surface antigen (HBsAg) + vaccination status | Standard pre-clinical posting requirement globally. |
| Varicella / MMR immunity | Standard in many countries for healthcare workers. |
| Repeat sputum AFB | Most institutions accept documented treatment completion — a repeat smear is usually not required if ATT is complete. |
Practical Priority List
- GeneXpert sputum — do this now, before the certificate is finalised, to close the microbiological documentation gap
- LFTs — one final check post-ATT
- Know the destination country — the specific visa/entry TB requirements vary significantly by country; embassy website or IOM panel physician consultation will define exactly what is needed
- Pre-clinical posting bloods — HIV, HBsAg, vaccination records should be compiled regardless of the TB history
The destination country matters most here. If you share where Sanskar is travelling for his medical education, I can give the exact requirements for that country.
Russia
Searching the Web
Russia student visa medical requirements TB tuberculosis India 2024 2025
Searching the Web
Russia medical university admission health certificate requirements foreign students tuberculosis
Good — the search results give a clear picture. Here is what Sanskar specifically needs for Russia:
Requirements for Russia — MBBS Medical Student
Student Visa (Before Travel)
Russia does not require a pre-departure TB screening like the UK/Australia. The visa process for Indian MBBS students involves:
| Document | Status for Sanskar |
|---|---|
| Invitation letter from Russian university | University arranges this after admission |
| Valid passport | Standard |
| Admission/enrollment confirmation | Standard |
| Passport-size photos | Standard |
| Voluntary Health Insurance (VHI) policy | Must be purchased — mandatory for all foreign students |
| Medical fitness certificate | ✅ Already created |
On Arrival in Russia — Mandatory Medical Examination
This is where TB history becomes directly relevant. All foreign students must undergo a mandatory medical examination within 30 days of arrival, which includes:
| Test | What It Involves | Implication for Sanskar |
|---|---|---|
| Chest X-ray / CT scan | Pulmonary TB screening | Will show residual fibrotic changes — must have ATT completion documentation ready |
| Tuberculosis specialist review | Phthisiatrist (TB doctor) consultation | Will review history — completed treatment + negative sputum = clearance expected |
| HIV test | Blood test | ⚠️ Required — get this done before travel |
| Syphilis (RPR/VDRL) | Blood test | ⚠️ Required |
| Hepatitis B (HBsAg) | Blood test | ⚠️ Required |
| Urine drug screen | Chemical-toxicological test | Standard |
| Dermatovenerologist check-up | Clinical exam | Standard |
| Fingerprinting + photo | Biometric | Standard |
For Dormitory/University Residence
HSE and most Russian universities explicitly require, before or within 30 days of check-in:
"Certificate of absence of tuberculosis, HIV, hepatitis B with a therapist's note that there are no contraindications for living in the dormitory — with notarially certified Russian translation (valid 6 months)."
This means Sanskar needs:
- ✅ Fitness certificate — already created, covers TB
- HIV negative certificate — get tested in India before travel
- HBsAg (Hepatitis B) negative certificate — get tested in India before travel
- Notarially certified Russian translation of all three documents
Complete Pre-Travel Checklist for Russia
| # | Test / Document | Priority |
|---|---|---|
| 1 | GeneXpert / end-of-treatment sputum | High — closes TB cure documentation |
| 2 | HIV test (ELISA) | High — mandatory in Russia |
| 3 | HBsAg (Hepatitis B surface antigen) | High — mandatory in Russia |
| 4 | VDRL / RPR (Syphilis) | Moderate — will be done in Russia anyway, better to have it beforehand |
| 5 | LFTs (post-ATT) | Moderate — confirms no liver damage from ATT |
| 6 | Fitness certificate (Dr. Vijay Kumar, signed + stamped) | ✅ Done — get it notarised |
| 7 | Russian translation of fitness certificate + HIV + HBsAg reports | Notary + Russian translator before travel |
| 8 | Hepatitis B vaccination (if HBsAg negative and unvaccinated) | Recommended for clinical postings |
Key point: Russia is itself a high-TB-burden country and takes TB history seriously at university entry. Sanskar's well-documented treatment completion — CECT, sputum negative, HRCT follow-up, and the fitness certificate — is exactly the right package. The TB specialist at the Russian university will clear him on that basis. The bigger gaps to close right now are HIV and Hepatitis B tests, as these are equally mandatory.
Now, clarify properly
Checking Date & Time
Asking for Preferences
Searching the Web
Russia student visa TB certificate requirements Indian students medical university 2025
Searching the Web
Russia university dormitory TB free certificate requirements notarized translation 2025
Here is a thorough assessment of both certificates against Russian visa and university requirements:
Assessment: Are These Certificates Sufficient for Russia?
What the Certificates Have ✅
Both are issued on official Medanta letterhead with hospital stamp, doctor's registration number (BMC 43831), and authorized by Dr. Vijay Kumar (MBBS, MD Pulmonology). Here's what each covers:
| Requirement | Certificate 1 | Certificate 2 |
|---|---|---|
| Patient identity + passport number | ✅ (Y2067705) | ✅ |
| TB diagnosis confirmed | ✅ | ✅ |
| Full 6-month ATT completed | ✅ (completion date 16 Apr 2026) | ✅ |
| Sputum AFB negative | ✅ | ✅ |
| HRCT shows no active disease | ✅ | ✅ |
| Asymptomatic declaration | ✅ | ✅ |
| Non-infectious declaration | ✅ | ✅ |
| Fit for shared accommodation | ✅ | ✅ |
| Fit for international travel | ✅ | ✅ |
| Signed + stamped by specialist | ✅ | ✅ |
Gap Analysis — What's Still Needed
1. HIV Certificate (Critical — visa-level requirement)
The Russian Embassy explicitly requires an HIV-negative certificate at the time of visa application, taken within the last 3 months, still valid 15–30 days on the day of submission. Neither TB certificate covers this. Sanskar must get an HIV ELISA test and obtain a separate HIV-negative certificate before applying for the visa.
2. These certificates do NOT mention HIV — and the Russian Embassy will not accept the TB fitness certificate as a substitute. They are separate documents.
3. Notarized Russian translation
All documents submitted to Russian authorities (embassy, university, dormitory) must have a notarized Russian translation. Both certificates are in English only. This is mandatory.
4. Which certificate to use?
Certificate 1 is stronger for the university/dormitory because it includes:
- Passport number (critical for embassy)
- Patient photograph with doctor's stamp
- Specific treatment completion date (16 April 2026)
- "No further anti-tubercular treatment is required" — important for dormitory admission
- Cleaner, more detailed clinical narrative
Certificate 2 is suitable as a supplementary document. It adds the explicit mention of chest X-ray, treatment phases, and WHO guideline compliance — which some universities appreciate.
Recommendation: Submit both — they complement each other and together present the most complete picture.
Russian Visa Process Summary for Sanskar
| Document | Status | Action Needed |
|---|---|---|
| TB Fitness Certificate | ✅ Ready (both versions) | Get notarized Russian translation |
| HIV-Negative Certificate | ❌ Missing | Get HIV ELISA, obtain certificate |
| Medical Insurance (≥€30,000 cover) | ❌ Unknown | Purchase before visa application |
| University Invitation Letter (MOI) | ❌ Unknown | University will issue this |
| HBsAg Certificate | ❌ Pending | Required for dormitory |
| VDRL/Syphilis | Not needed pre-departure | Done on arrival in Russia |
On Arrival in Russia (within 30 days)
Russia will conduct its own mandatory medical exam regardless — chest X-ray, HIV, syphilis, hepatitis B, urine drug screen. The TB fitness certificates will be reviewed by Russian TB specialists at that point. The healed fibrotic changes on HRCT are not a barrier to clearance, as they are documented sequelae of treated disease with no active infection.
Bottom line: Both certificates are clinically solid and legally valid. The critical missing piece before the visa application is the HIV-negative certificate. Once that is obtained, all documents need notarized Russian translation before submission.
Based on my fitness certificate tell me what to ask from my student office for further process
Searching the Web
Russia medical university student office documents required Indian student TB history admission 2025
Based on your two fitness certificates and the Russian student admission process, here is exactly what to ask your student/university office — written so you can use it directly.
What to Ask Your Student Office
Step 1 — Send them your TB fitness certificates and ask:
"I have two TB fitness certificates from my treating pulmonologist at Medanta, Patna, dated 17 April 2026, confirming treatment completion and non-infectious status. Please confirm:
- Are both certificates acceptable, or do you require a specific format?
- Do I need to get these translated into Russian and notarized before submission, or will the university handle that?
- Should the certificates be apostilled/attested by the Indian Ministry of External Affairs?"
Step 2 — Ask them to issue/confirm the Invitation Letter (most critical):
"Please confirm the status of my official Invitation Letter (Приглашение) issued by the Russian Ministry of Internal Affairs (МВД). I need this to apply for my student visa at the Russian Embassy in India. Please share:
- The invitation letter itself (original or scanned copy)
- Expected date of issuance if not yet ready
- Whether it has been registered with the Russian Ministry of Internal Affairs"
Step 3 — Ask about their medical document checklist:
"Please send me the complete list of medical documents required for:
- University enrollment/admission
- Dormitory/hostel accommodation
- Student visa application
Specifically, do you need a separate HIV-negative certificate, HBsAg certificate, or any other test reports? Should these be issued in a specific format?"
Step 4 — Ask about post-arrival medical examination:
"I am aware that Russia requires a mandatory medical exam within 30 days of arrival. Will the university assist in scheduling this? Since I have a history of treated pulmonary TB (fully cured, sputum negative, HRCT shows no active disease), will I need to carry any additional documents for the TB dispenser/health authority in Russia?"
Step 5 — Ask about translation and notarization:
"Which of my documents need to be translated into Russian and notarized before I arrive? Should I get this done in India, or will the university arrange it in Russia? Do you have an empanelled translator or agency I should use?"
Quick Summary Checklist to Share with Your Office
| Document | Your Status | Ask Office |
|---|---|---|
| TB Fitness Certificate | ✅ Ready (2 versions) | Confirm format accepted |
| HIV-Negative Certificate | ❌ Not done yet | Confirm if required for visa |
| HBsAg Certificate | ❌ Not done yet | Confirm if required for dormitory |
| University Invitation Letter | ❓ Unknown | Ask for status + timeline |
| Notarized Russian Translation | ❌ Not done | Ask who arranges it |
| Medical Insurance (≥€30,000) | ❓ Unknown | Ask if university provides or you buy |
| Apostille on certificates | ❓ Unknown | Ask if MEA attestation needed |
Key point to communicate clearly to your office: Your TB is fully treated and cured. Both certificates explicitly state "no active disease," "non-infectious," and "fit for shared accommodation." You are not hiding anything — you are proactively disclosing a completed treatment, which is the right approach and actually strengthens your case for a smooth medical clearance on arrival in Russia.
Generate a proper mail
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Asking for Preferences
Here is the email — replace the
[bracketed] fields before sending:Subject: Medical Documentation & Pre-Arrival Queries — Sanskar Kumar | Passport No. Y2067705 | Incoming Student [Year]
Dear [Student Affairs / International Office / Admissions Office],
My name is Sanskar Kumar, an incoming student from India (Passport No. Y2067705, Date of Birth: 10 July 2004). I have been provisionally admitted to pursue [Programme Name, e.g., MBBS / General Medicine (MD)] at your esteemed university and I am writing to seek guidance regarding the documentation and pre-arrival formalities required to proceed with my student visa and enrollment.
Regarding Medical Documentation
I wish to transparently disclose and document my medical history for your records and for any health clearance processes at the university.
I was diagnosed with pulmonary tuberculosis in October 2025 and have successfully completed the full 6-month course of anti-tubercular therapy (ATT) as per WHO and national guidelines, under the supervision of Dr. Vijay Kumar, MBBS, MD (Pulmonary Medicine), Senior Consultant, Jay Prabha Medanta Super Speciality Hospital, Patna, India.
At the time of treatment completion (April 2026):
- Sputum smear (AFB) examination: Negative
- HRCT Chest (April 2026): No evidence of active disease — consistent with healed tuberculosis with residual fibrotic changes only
- Clinical status: Asymptomatic, no cough, no fever, no respiratory complaints
- Declaration by treating specialist: Non-infectious, medically fit for international travel, shared accommodation, and academic/clinical activities
I have two official Medical Fitness Certificates from my treating pulmonologist, dated 17 April 2026, on Medanta hospital letterhead with stamp and authorization. I am attaching both certificates to this email.
I kindly request your guidance on the following:
- Are these certificates acceptable in their current format, or does the university require a specific template or additional clinical details?
- Do I need to get these certificates translated into Russian and notarized prior to arrival, or will the university assist with this process?
- Is apostille/attestation by the Indian Ministry of External Affairs (MEA) required for medical documents?
- What is the complete list of medical documents required for (a) university enrollment, (b) dormitory/hostel accommodation, and (c) student visa application? Specifically, should I arrange a separate HIV-negative certificate, HBsAg certificate, or any other tests before departure?
- Regarding the mandatory medical examination on arrival in Russia — since I have a history of treated and cured TB, should I carry any additional documents for the TB dispensary or health authority? Will the university assist in coordinating this examination?
Regarding the Invitation Letter
I understand that an official Invitation Letter (Приглашение) issued through the Russian Ministry of Internal Affairs (МВД) is required to apply for my student visa at the Russian Embassy in India. I have not yet received this letter.
Could you please:
- Confirm the current status of my Invitation Letter and the expected date of issuance?
- Share a copy (scanned or original) of the letter once it is ready?
- Confirm whether the letter has been registered with the МВД and is ready for embassy submission?
Regarding Medical Insurance
- Does the university arrange group medical insurance for international students, or do I need to purchase a separate policy with a minimum coverage of €30,000 valid for Russia?
I am fully committed to completing all formalities promptly and wish to ensure a smooth clearance process at every stage — visa, enrollment, and on-arrival medical examination. Please let me know if you require any additional documents, information, or clarifications from my side.
I look forward to your guidance and to joining the university soon.
Warm regards,
Sanskar Kumar
Passport No.: Y2067705
Date of Birth: 10 July 2004
UHID (Medanta, Patna): BP00374959
Mobile: [Your Phone Number]
Email: [Your Email Address]
Attachments:
- Medical Fitness Certificate — Version 1 (with patient photo, table format) — 17 Apr 2026
- Medical Fitness Certificate — Version 2 (narrative format) — 17 Apr 2026
Tip: Send this email to both the international students office and your direct admissions coordinator/agent (if you have one in India). Keep a record of the date sent and follow up in 5–7 working days if you don't hear back. The invitation letter is time-sensitive for your visa application.
I have complete my first 2 semester in fefu on 3 rd sem I'm on academic leave
Asking for Preferences
Here is the revised email tailored for reinstatement from academic leave at FEFU (Far Eastern Federal University, Vladivostok):
Subject: Request for Reinstatement from Academic Leave — Sanskar Kumar | Student ID: [Your Student ID] | 3rd Semester, [Programme Name]
Dear Student Affairs / Academic Office,
Far Eastern Federal University (FEFU)
I am Sanskar Kumar, an enrolled student at FEFU, currently on academic leave during the 3rd semester of my [Programme — e.g., General Medicine / MD] programme. I have successfully completed my 1st and 2nd semesters at the university.
I am writing to formally initiate the process of reinstatement from academic leave and to seek your guidance on the documentation and procedures required to resume my studies from the [September 2026 / next available] intake.
Reason for Academic Leave — Medical
My academic leave was necessitated by a medical condition. I was diagnosed with pulmonary tuberculosis in October 2025 and underwent the full prescribed course of anti-tubercular therapy (ATT) for six months under specialist supervision in India.
I am pleased to inform you that I have made a complete clinical recovery:
- Treatment completed: 16 April 2026
- Sputum AFB examination: Negative
- HRCT Chest (April 2026): No evidence of active disease — healed tuberculosis with residual fibrotic changes only
- Clinical status: Fully asymptomatic
- Treating specialist's declaration: Non-infectious, medically fit for international travel, shared accommodation, and unrestricted academic and clinical training activities
I have attached two official Medical Fitness Certificates from my treating pulmonologist — Dr. Vijay Kumar, MBBS, MD (Pulmonary Medicine), Senior Consultant, Jay Prabha Medanta Super Speciality Hospital, Patna, India — both dated 17 April 2026, confirming my fitness to resume studies.
Queries — Please Guide Me on the Following
-
Reinstatement procedure: What is the formal process and application form (if any) required to cancel the academic leave and reinstate my enrollment for the 3rd semester?
-
Deadline: What is the last date to submit reinstatement documents to be included in the [September 2026] semester intake?
-
Medical clearance for return: Given my TB history (fully treated and cured), what medical documents does the university require before I can return to campus and dormitory? Do I need:
- A specific university-format medical certificate?
- HIV-negative certificate?
- HBsAg (Hepatitis B) certificate?
- Any additional TB-specific clearance from a Russian TB dispensary or Rospotrebnadzor?
-
Document translation/notarization: Do my Indian medical certificates need to be translated into Russian and notarized before submission? Should this be done in India or can it be done on arrival in Vladivostok?
-
Student visa / re-entry: My student visa may have lapsed during the academic leave period. Do I need a new invitation letter (Приглашение) to apply for a fresh student visa, or can the existing enrollment be used for visa extension/renewal? Please advise on the visa reinstatement process.
-
Dormitory: Can I be accommodated in the student dormitory upon return? Are there specific health clearance documents required by the dormitory administration given my medical history?
-
Migration registration: Upon arrival in Vladivostok, will the university assist with migration card registration (within 7 working days)?
I am fully recovered, medically certified fit, and eager to resume my academic journey at FEFU. I am committed to completing all required formalities well in advance of the semester start date. Please let me know if you need any additional documents, a formal application, or a personal interview.
I look forward to your response.
Warm regards,
Sanskar Kumar
Passport No.: Y2067705
Date of Birth: 10 July 2004
Student ID: [Your FEFU Student ID]
Programme: [General Medicine / MD — Year 2]
Mobile: [Your Phone Number]
Email: [Your Email Address]
Attachments:
- Medical Fitness Certificate — Version 1 (detailed, with photo) — Dr. Vijay Kumar, 17 Apr 2026
- Medical Fitness Certificate — Version 2 (narrative) — Dr. Vijay Kumar, 17 Apr 2026
Three things to fill in before sending:
- Your FEFU Student ID (should be on your student card or admission letter)
- Your programme name exactly as registered at FEFU
- Your target return semester (September 2026 is the most likely)
Send to: FEFU International Students Department — their email is typically inter@fefu.ru or through the student portal. If you have a direct coordinator's contact, copy them as well.
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