English language requirements

Evidence we accept to prove your knowledge of English

When you apply to register with us we need to be satisfied you have the necessary knowledge of English to communicate effectively. Communication is defined as speaking, reading, listening and writing and your evidence must demonstrate competence in these four mandatory skills.

There are a number of pieces of evidence that we will accept:


If you cannot send the evidence we request, or we are not satisfied with what you send us, we won’t be able to consider your application.

We highly recommend you make sure you can meet our language evidence requirements before you apply to us. If you feel you are unlikely to do so you may wish to complete a language test before applying to us.

To avoid delays, you may wish to include evidence that you meet the English language requirements with your application. In this case, if your evidence meets our requirements you will automatically move to step 3 to complete your registration. If you have not submitted evidence of your language competence, we will ask you to do so.

Our guidance contains more information on the NMC language requirements.