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Congratulations I think this letter was sent to you by mistake. Can you share the content of the letter?

This means that London office does not pay attention to this type of program Self employed, but check the GCMS. Is there a due date for the medical examination mentioned in one of the pages? Also check if there is any recommendation from the CIO regarding eligibility, or was the file transferred...

It's a long journey. Which visa office handles your file?

Which visa office ?

There are many 2018 applicants whose files were processed in the London office and received approval two to three months after passing the medical examination.

You are right, London office takes longer to process files compared to other offices, usually from 8 months to a year from AOR to receive the medical request

probably the visa office may still be processing your application and has not yet issued the medical request. It's possible that they will send the request at a later date What is mentioned on the first page under the eligibility clause? Has the eligibility been passed and which visa office is...