Sorry for the delay, here are the answers:
---------------------TEMPLATE FOR MEDIUM OF INSTRUCTION---------------------------
TO WHOM IT MAY CONCERN
This is to certify that Mr. Xxx Xxx was a student of <college name here>, <City name here> From <start_year> to <end_year> and has successfully completed Bachelor of XXXXXX course in <month+year here> Reg no. <reg number> and the medium of instruction for the above mentioned degree was in English.
Xxx ( registrar's signature here)
-----------------------------------------------------
This I got from my university.
I cannot say whether you need university letter or not but I guess it will certainly help. My university is listed in PBS calc however I have seen university being listed but no points being awarded for Enlgish section for some people. For a tier 1 main applicant, if he/she has already proved Enlgish requirement in his/her previous application then I don't think you don't need to prove it again though you still need to provide the docs like degree cert/medium of instruction letter/PBS CALC/NARIC letter (if you can get it). I was more concerned about my wife's English requirement but we both have studied from same university hence I decided to provide only docs mentioned Page1 of this topic for her rather any other thing. I would say everyone's circumstances are different and you would have provide docs according to your situation.
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Well life in the UK test was easy to be honest even with the history topic which people are fearful, I don't remember the questions as it's been couple of months now but I remember that from chapter 1+2 I got 5 questions and from history it was 12, 7 from last 2 chapters. Me and my wife gave the test together and passed in our first attempt, total time spent to prepare was about 2.5 weeks.
Hope the above help you and others.
Kind regards
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