ANMAC helps to protect the health and safety of the Australian community by establishing high-quality standards of nursing and midwifery education, training and assessment. We are the:
- independent accrediting authority for nursing and midwifery education under Australia’s National Regulation and Accreditation Scheme
- skills assessing authority for nurses and midwives wanting to migrate under the Australia Government’s General Skilled Migration program.
What we do:
- develop and review accreditation standards for nursing and midwifery programs of study in Australia
- accredit nursing and midwifery programs leading to registration or endorsement
- accredit Australian education providers of nursing and midwifery programs
- assess international qualified nurses and midwives for General Skilled Migration to Australia
- develop, review and provide policy advice on accreditation and skilled migration of nurses and midwives to relevant organisations
- liaise with national and international professional bodies, regulators and educators on matters related to standards of education and practice.
The Nursing and Midwifery Board of Australia undertakes the following:
- Registering nursing and midwifery practitioners and students
- Developing standards, codes and guidelines for the nursing and midwifery profession
- Handling notifications, complaints, investigations and disciplinary hearings
- Assessing overseas trained practitioners who wish to practise in Australia
- Approving accreditation standards and accredited courses of study
The Department of Home Affairs is responsible for immigration to Australia and will assess your application for a visa to migrate.
Australian and New Zealand Standard Classification of Occupations (ANZSCO) are codes applied to occupations for statistical purposes. These codes are used by the Department of Home Affairs in the skilled visa program, where it is a requirement for visa eligibility, as the standard by which a visa applicant’s skills to undertake a specific occupation in Australia are assessed.
The Australian Health Practitioner Regulation Agency (Ahpra) works with the 15 National Boards, including the Nursing and Midwifery Board (NMBA), to help protect the public by regulating Australia's registered health practitioners.
Before you apply for a skills assessment
Do I need a skills assessment?
Information on visa requirements is on the Department of Home Affairs website under each visa type. It is important to check what visa requirements affect you before applying to ANMAC for a skills assessment.
You only need to have your qualifications and skills assessed by ANMAC if you are migrating to Australia under the General Skilled Migration program to work as a nurse or midwife. Check with the Department of Home Affairs if you need a skills assessment before you apply for your visa.
ANMAC does not find employment for nurses or midwives or provide them with information or advice on employment opportunities, including where or how you can find work.
ANMAC does not provide nurses or midwives with information on employer sponsorship. Contact employers and nursing or midwifery agencies to find out about this. For more information visit the Department of Home Affairs.
If you hold registration as a registered nurse, enrolled nurse or midwife in Australia and/or New Zealand and your name appears on Ahpra's online public Register of practitioners you may qualify for a Modified Skills Assessment.
If you do not hold current registration in Australia and/or New Zealand but have a 'Notice of in principle approval of registration subject to proof of identity' letter from Ahpra you may qualify for a Modified PLUS Skills Assessment.
If you are a registered nurse in the United Kingdom, the United States, Hong Kong, Canada or Ireland and also have a minimum Bachelor of Nursing qualification from that country then you may qualify for a Full Skills Assessment.
If you are a registered midwife from Canada, the United Kingdom or Ireland and have a minimum Bachelor of Midwifery qualification from that country then you may qualify for a full skills assessment.
Go to application options. Select the option that applies to your situation and then follow the instructions.
The documents required for each assessment type differ.
All applicants must provide
- verification of registration (also known as certificate of good standing) should be arranged from every country or jurisdiction where you have held registration, this should be emailed directly from the regulatory authority to email@example.com. Where email is unavailable the relevant authority can post the verification directly to ANMAC.
- proof of identity:
- bio-statistical page(s) of passport
- change of name documents (marriage certificate, decree nisi, deed poll)
- a passport-sized photograph taken in the last 6 months
- graduation certificate, include commencement and completion dates
- professional references that support your work as a paid nurse or midwife, if you require points recognition from the Department of Home Affairs.
Full applicants must also provide
- English language test results - include the test number and date of test completion.
- transcripts of training, include commencement and completion dates, as well as theory and practice hours. If the university cannot provide this information, ANMAC will accept a copy of the syllabus.
- professional references supporting a minimum 3 months paid work experience as a nurse or midwife.
Please note: ANMAC may request extra documents from you that are not on these lists. You will receive a detailed checklist once you have submitted your application online.
A verification of registration, or certificate of good standing letter, confirms your registration, good standing and fitness to practice as a nurse or midwife. The organisation responsible for registering nurses and midwives in each country or jurisdiction provides this.
Please ask the regulatory authority to post or email a verification of registration or certificate of good standing letter to our office directly before applying to ANMAC for a migration skills assessment. We cannot accept a photocopy, fax or scanned copy of the letter from you or any other source.
Once received, we keep your verification of registration or certificate of good standing letter on file and match it to your application when we process it.
ANMAC does not supply applicants with a form to request this document. We do not accept emails from free web-based email accounts.
ANMAC no longer requires registration of verification from AHPRA. We will verify your Australian registration status electronically.
All applications remain open for 12 months from the date that you applied online. Access to the online portal will automatically cease on this date.
All supporting documents uploaded for your Migration Skills Assessment must meet these minimum scanning requirements:
- original documents only
- scanned in colour
- scanned at a resolution of 600 dpi (dots per inch) or above.
- file must be a .pdf
The passport sized photo must be a jpeg, .jpg or .png.
You may need to change the settings of the scanner to meet these requirements.
Please make sure you scroll down the page and select ‘save’. This will make sure the documents you have just uploaded will reach the assessment team.
The assessment for registration is separate to the assessment for skilled migration. The assessment for registration is conducted by the Australian Health Practitioner Regulation Agency (Ahpra) on behalf of the Nursing and Midwifery Board of Australia. You need to submit an application to AHPRA for assessment for registration and meet the requirements for registration.
If you hold current registration as a registered nurse, enrolled nurse or midwife your name will appear on AHPRA's online public Register of Practitioners
English Language Test
Modified skills assessment applicants
If you are applying for a modified skills assessment you do not need to provide English language test results. This means you are registered with:
MODIFIED PLUS SKILLS ASSESSMENT
If you are applying for a Modified PLUS Skills Assessment you do not need to provide English language test results. This means you have a 'Notice of in principle approval of registration subject to proof of identity' letter from:
Full skills assessment applications
All internationally-qualified nurses and midwives without Australian or New Zealand registration (regardless of country of birth) have to provide English language test results.
Australia’s official language is English and it is important that healthcare professionals working here are proficient in English (reading, speaking, writing and listening). This enables nurses and midwives to communicate competently and safely with patients and their families, colleagues and other health professionals.
We accept successful completion of:
- International English Language Testing System (IELTS) Academic test.
Applicants must achieve a minimum overall score of 7 and a minimum score of 7 in each of the 4 components - listening, reading, writing and speaking.
ANMAC only accept test results from one test sitting OR a maximum of two test sittings, in a six-month period only if the applicant achieves:
a) a minimum overall score of 7 in each sitting
b) no score in any component of the test is below 6.5
- Occupational English Test (OET) for nurses.
Applicants must achieve a minimum score of B in each of the 4 components - listening, reading, writing and speaking.
ANMAC only accept test results from 1 test sitting OR a maximum of 2 test sittings, in a 6 month period only if the applicant:
a) is tested in all 4 components in each sitting
b) no score in any component of the test is below C
- Pearson Test of English (PTE) Academic.
Applicants must achieve a minimum overall score of 65 AND a minimum score of 65 in each of the 4 communicative skills - listening, reading, writing and speaking.
ANMAC only accept test results from 1 test sitting OR a maximum of 2 test sittings, in a 6 month period only if the applicant achieves:
a) a minimum overall score of 65 in each sitting
b) no score in any of the four communicative skills is below 58
- Test of English as a Foreign Language (TOEFL) iBT.
Applicants must achieve a minimum total score of 94 AND the following minimum score in each section of the test - 24 listening, 24 reading, 27 writing, 23 speaking
ANMAC only accept test results from 1 test sitting, OR a maximum of 2 test sittings in a 6 month period only if the applicant achieves:
a) a minimum total score of 94 in each sitting
b) no score in any of the sections is below - 20 listening, 19 reading, 24 writing, 20 speaking
ANMAC accepts test results that are up to 2 years old. You only have to pass 1 of these tests, not all of them. Scores from 2 different tests cannot be combined.
These are currently the only language tests that ANMAC accepts. Any changes to this will be published on the website.
ANZSCO codes and professional references
The ANZSCO code you select depends on your individual circumstances, the visa you are applying for and your relevant work experience.
Your ANZSCO code should reflect your work experience and, generally, your most recent area of work experience. If you do not have work experience, you should select the 254499 Registered Nurse (Not Elsewhere Classified) code.
If you nominate a specific ANZSCO code (other than 254499 Not Elsewhere Classified), you must provide a professional reference that supports a minimum 3 months paid work experience in this area within the last 5 years.
On official letterhead your professional references need to provide:
- your dates of employment
- your areas of experience
- a statement about your professional competence and safety as a nurse or midwife
- examples of your professional competence as a nurse or midwife (the day to day activities you undertake) related to the tasks required for your ANZSCO code
- details of continuing professional development
- signature of the referee (electronic signatures are not acceptable).
Your referee needs to date their original letter and include their name, position and contact details. The contact details should include an official email address.
Please note: ANMAC does not accept emails from free web-based email accounts.
ANMAC has a template (58 KB) that explains this criteria. If your professional references do not meet this criteria we cannot accept the reference.
You should use the person who directly managed or supervised you. This person must be a nurse or midwife. If your direct supervisor is not a nurse or midwife, a statement to this effect should be included in the reference. We do not accept references from Human Resources or Payroll departments.
Nurses or midwives who work for an agency need to provide a:
- service statement from the agency detailing employment dates and number of hours worked.
- a professional reference from an institution where you regularly work that meets ANMAC's professional reference requirements (58 KB).
If you would like ANMAC to report on your work for points recognition by the Department of Home Affairs you will need to submit professional references that meet ANMAC criteria. You must have a minimum 1 year paid work in Australia and/or a minimum of 3 years paid work overseas.
Work experience will not be considered if there is no corresponding nursing registration in that jurisdiction at that time. ANMAC must receive registration verification directly from the relevant nursing authority. This can be emailed directly to firstname.lastname@example.org
After your assessment
Please log back into the ANMAC portal and select 'Request LOD Re-Issue'. You will be required to pay $125 and upload a professional reference that meets ANMAC criteria.
Please note, the expiry date on the re-issued letter remains 2 years from the date that the initial determination was made. The validity cannot be extended.
Yes. You will need to have completed a minimum 3 months paid work experience in that clinical area.
If you would like to change your nominated ANZSCO code please log into the ANMAC portal and select 'Request LOD Re-Issue'. You will be required to make payment of $125AU.
ANMAC will send you an email to confirm payment and you will need to upload a professional reference supporting the change in ANZSCO code.
Please note, the expiry date on the re-issued letter remains 2 years from the date that the initial determination was made. The validity cannot be extended.
If there is an error on your Letter of Determination please call ANMAC on +61 2 6257 7960 to discuss the error with the assessment team.
Yes, you can but you will need to email ANMAC within 30 days from the issue date on your Letter of Determination.
To appeal ANMAC’s decision follow these steps:
- Contact us with your:
- full name
- date of birth
- reference number
- the reason you are appealing.
- ANMAC will acknowledge your email and invoice you $200.00 to pay for the appeals process. ANMAC only accepts payments by VISA or MasterCard. Payment must be received by ANMAC in order for the appeal to be processed.
The appeals process is governed by our Appeals Policy (193 KB).
You will need to wait 2 years from the date the determination was made. This date can be found on the determination letter issued by ANMAC.
All determination letters issued by ANMAC are valid for 2 years from the date the determination was made. You can view this on your Letter of Determination.
Please note that a re-issue of your letter does not extend the validity period.
Determination letters are valid for 2 years from the date of issue. To have a valid Letter of Determination past this date you will need to re-apply.