Even if English is one of the official languages of your country, you may still not be exempt and will have to take either the IELTS Academic or OET exam. This list is based on countries where “majority spoken” is English, not “official languages” include English. The NMC has a list of countries they have designated as “majority English speaking” which are exempt from the NMC requirement to provide proof of English competency. For more details, please see the NMC’s English Requirements website. Antigua and Barbuda Anguilla Australia The Bahamas Barbados Belize Bermuda British Indian Ocean Territory Canada Cayman Islands Dominica Falkland Islands Gibraltar Grenada Guernsey Guyana Ireland Isle of Man Jamaica Jersey Malta New Zealand Saint Helena, Ascension and Tristan da Cunha St Kitts and Nevis St Lucia St Vincent and the Grenadines Trinidad and Tobago United Kingdom United States of America US Virgin Islands