If all of your 529 distribution was used for Qualified Education Expenses, you don't need to enter the 1099-Q in your return.
Click this link for more detailed info on 1099-Q.
You can enter expenses you paid 'out of pocket' without a 1098-T; however, your foreign school would have to be on the Federal School Approved List.
Click this link for more info on Tuition Expenses at Foreign Schools.
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