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Even if you already have a student visa/entry clearance, the Immigration Officer may still ask questions to prove that you are a genuine student coming to Cardiff University.
Make sure you are carrying all your important documentation in your hand luggage to show to the Immigration Officer, see: what documents should I put in my hand luggage?
If you are from the Indian sub-continent, Africa or country that has TB and you do not have a medical report of a chest X-ray or a TB certificate you may be examined by a medical inspector and be given a chest X-ray at Heathrow airport.
This will take time and delay your passage through immigration control at the airport and then your onward journey to Cardiff.
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Guide for International Students 2012.