The Pre-Entry Tuberculosis Screening is a mandatory health check that ensures students entering Japan are free from active TB infection. This is not only a public health measure but also a step to ensure students remain healthy during their studies abroad.
Starting in 2024 and continuing in 2025, many Japanese immigration offices (such as Tokyo, Osaka, and Nagoya) have made TB clearance certificates a required document for COE application.
The test must be completed at a Japan Embassy-approved medical facility in your home country, and the certificate should clearly state that no active TB was found.

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