English Language Proficiency and Student Declaration Form

Instructions for applicants - complete all sections

Recognised countries are Australia, Canada, New Zealand, Republic of Ireland, South Africa, United Kingdom or United States of America.
Please refer to the Nursing and Midwifery Board of Australia's Registration standard: English language skills webpage for the full list of recognised countries.

Required fields are marked with an asterisk (*).

Your Details
Date of birth *
Qualifications
Are you an Enrolled Nurse - Division 2 - who has current AHPRA registration? *
I declare (tick as applicable) *

Please include your Test Report Form (TRF) number for IELTS or equivalent test for verification. See equivalent scores required in concordance table.

Vaccinations and Immunisation *
Certification, Checks and Clearances (please tick) *
Additional (all boxes must be ticked) *