If you were educated in the Philippines, you have to take IELTS. Quoted from the CGFNS website: To be exempt from the English proficiency requirement, you must meet ALL of the following criteria: country of nursing education was in Australia, Barbados, Canada (all provinces; the only approved schools in Quebec are: McGill University and Dawson College in Montreal, Vanier College in St Laurent, John Abbot College in Sainte-Anne-de-Bellevue, and Heritage College in Gatineau), Ireland, Jamaica, New Zealand, South Africa, Trinidad and Tobago, the United Kingdom or the United States. textbook and instruction language was in English. So if you graduated from the UK, for example, you would be exempt.