Different Entrance Exams Required for Studying, Working, and Immigrating to Different Countries

Planning to study, work, or settle abroad? One of the biggest challenges is understanding which exams are required by different countries. Depending on your destination and purpose, you may need entrance exams, English language proficiency tests, professional licensing exams, or local language certification.

This guide covers the most popular exams accepted around the world for higher education, employment, immigration, medicine, engineering, law, and language proficiency.


Why Do Countries Require Different Exams?

Countries use standardized examinations to evaluate applicants fairly. These exams help universities, employers, and immigration authorities assess:

  • Academic knowledge and readiness
  • English (or other) language proficiency
  • Professional competence
  • Critical thinking and reasoning skills
  • Subject-specific expertise
  • Communication abilities

Country-wise Exam Requirements

Country Study / Entrance Exams English / Language Tests Professional / Immigration Exams
๐Ÿ‡บ๐Ÿ‡ธ United States SAT, ACT (undergrad); GRE, GMAT (grad); LSAT (law); MCAT (medicine) IELTS, TOEFL iBT, PTE Academic, Duolingo English Test USMLE (doctors), NCLEX (nurses), FE/PE (engineers)
๐Ÿ‡จ๐Ÿ‡ฆ Canada GRE, GMAT (often optional); some universities accept SAT/ACT IELTS (General/Academic), CELPIP, TOEFL, PTE Academic/Core MCCQE + NAC OSCE (doctors), NCLEX (nurses), Express Entry language tests
๐Ÿ‡ฌ๐Ÿ‡ง United Kingdom UCAT (medicine/dentistry), LNAT (law), GRE/GMAT (some postgraduate) IELTS for UKVI, PTE Academic UKVI, TOEFL (universities) PLAB / UKMLA (doctors), CBT + OSCE (nurses)
๐Ÿ‡ฆ๐Ÿ‡บ Australia UCAT ANZ (medicine), GAMSAT (graduate medicine), GRE (some programs) IELTS, PTE Academic, TOEFL iBT AMC (doctors), OET (healthcare), Skills Assessment (various professions)
๐Ÿ‡ณ๐Ÿ‡ฟ New Zealand UCAT ANZ (medicine) IELTS, TOEFL, PTE Academic NZREX (doctors), OET (healthcare)
๐Ÿ‡ฉ๐Ÿ‡ช Germany TestAS (some universities); many programs have no entrance exam IELTS, TOEFL (English-taught); TestDaF, DSH, Goethe-Zertifikat (German-taught) Recognition via Anabin/ZAB; professional licensing varies by field
๐Ÿ‡ซ๐Ÿ‡ท France TCF / university-specific tests; some programs use Parcoursup IELTS, TOEFL (English-taught); DELF, DALF, TCF (French-taught) Professional recognition via relevant bodies
๐Ÿ‡ฎ๐Ÿ‡น Italy IMAT (English-taught medicine) IELTS, TOEFL CELI, CILS (Italian language); professional exams by field
๐Ÿ‡ช๐Ÿ‡ธ Spain PCE (Prueba de Competencias Especรญficas) for non-EU students IELTS, TOEFL DELE (Spanish language); professional recognition required
๐Ÿ‡ฏ๐Ÿ‡ต Japan EJU (Examination for Japanese University Admission) IELTS, TOEFL JLPT (Japanese Language Proficiency Test)
๐Ÿ‡ฐ๐Ÿ‡ท South Korea University-specific tests; TOPIK often required IELTS, TOEFL TOPIK (Korean language)
๐Ÿ‡จ๐Ÿ‡ณ China University entrance exams or HSK for language programs IELTS, TOEFL HSK (Chinese language)
๐Ÿ‡ธ๐Ÿ‡ฌ Singapore SAT, GRE, GMAT (depending on program) IELTS, TOEFL Employer- or board-specific licensing
๐Ÿ‡ฆ๐Ÿ‡ช UAE University-specific requirements IELTS, TOEFL, PTE Professional licensing exams (e.g., DHA, DOH, MOH for healthcare)
๐Ÿ‡ฎ๐Ÿ‡ช Ireland HPAT (medicine), GRE (some postgraduate) IELTS, TOEFL, PTE Professional registration exams by field
๐Ÿ‡ณ๐Ÿ‡ฑ Netherlands GRE, GMAT (some programs); many masterโ€™s are test-optional IELTS, TOEFL Employer- or profession-specific requirements

Most Popular English Language Tests

Exam Purpose Accepted In
IELTS (Academic / General / UKVI) Study, work, immigration 140+ countries
TOEFL iBT Primarily university admission Worldwide (especially strong in the US)
PTE Academic / PTE Core Study & immigration Many countries (Australia, UK, Canada, etc.)
Duolingo English Test University admission Growing acceptance (thousands of institutions)
CELPIP Canadian immigration & citizenship Canada
OET Healthcare professionals UK, Australia, New Zealand, Ireland, and others

Exams for Undergraduate Admissions

  • SAT โ€“ Primarily USA; also accepted by many international universities
  • ACT โ€“ Alternative to SAT (mainly USA)
  • UCAT / UCAT ANZ โ€“ Medicine and dentistry (UK, Australia, New Zealand)
  • LNAT โ€“ Law schools in the UK
  • IMAT โ€“ English-taught medicine in Italy
  • EJU โ€“ Japanese university admission for international students
  • PCE โ€“ University entrance for non-EU students in Spain

Exams for Master’s / Graduate Programs

  • GRE (many graduate programs)
  • GMAT (business / MBA programs)
  • Executive Assessment (some executive MBA programs)
  • Note: Many universities (especially in Europe, Canada, and increasingly the US) have made GRE/GMAT optional

Medical Entrance & Licensing Exams

Exam Country Purpose
MCAT USA (also accepted in Canada, some Caribbean/Australian programs) Medical school admission
USMLE USA Medical licensure & residency
PLAB / UKMLA UK Medical registration for international graduates
AMC Australia Medical registration
MCCQE (+ NAC OSCE) Canada Medical licensing
IMAT Italy Admission to English-taught medical programs
GAMSAT Australia (and some UK programs) Graduate-entry medicine
NZREX New Zealand Medical registration

Nursing Exams

  • NCLEX-RN / NCLEX-PN โ€“ USA & Canada
  • CBT + OSCE โ€“ United Kingdom (NMC)
  • OBA (Outcomes-Based Assessment) โ€“ Australia
  • OET โ€“ English language test specifically for healthcare professionals (accepted in multiple countries)

Engineering & Other Professional Exams

  • FE (Fundamentals of Engineering) and PE (Professional Engineer) โ€“ USA
  • Chartered Engineer (CEng) assessments โ€“ UK and many Commonwealth countries
  • Skills Assessment by relevant assessing authorities โ€“ Australia
  • Country- or board-specific professional registration exams elsewhere

Language Proficiency Exams (Non-English)

Language Main Exams
German Goethe-Zertifikat, TestDaF, DSH, telc
French DELF, DALF, TCF
Spanish DELE, SIELE
Italian CELI, CILS, PLIDA
Japanese JLPT
Korean TOPIK
Chinese HSK

Top International Exams (Most Commonly Required)

  1. IELTS
  2. TOEFL iBT
  3. PTE Academic
  4. GRE
  5. GMAT
  6. SAT
  7. ACT
  8. Duolingo English Test
  9. MCAT
  10. UCAT / UCAT ANZ
  11. LSAT
  12. USMLE
  13. NCLEX
  14. PLAB / UKMLA
  15. TestDaF / DSH
  16. DELF / DALF
  17. JLPT
  18. TOPIK
  19. HSK
  20. OET

Frequently Asked Questions (FAQs)

Which English test is accepted by the most countries?

IELTS is one of the most widely accepted English language tests for study, work, and immigration worldwide (accepted by more than 11,000 organizations in 140+ countries).

Do all universities require GRE or GMAT?

No. A large and growing number of universities have made GRE or GMAT optional or have eliminated the requirement entirely, especially for many masterโ€™s programs outside the United States.

Which exam is needed for doctors?

It depends on the destination country:

  • USA โ†’ USMLE
  • UK โ†’ PLAB or UKMLA
  • Australia โ†’ AMC
  • Canada โ†’ MCCQE (+ NAC OSCE)
  • New Zealand โ†’ NZREX

Can I study abroad without IELTS?

Yes. Many universities accept TOEFL iBT, PTE Academic, the Duolingo English Test, or may waive the English proficiency requirement if you have studied in English or meet other specific criteria.