NZREX Exam 2026: Dates, Fees in India, Pattern, Syllabus, Pass Rate
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NZREX Exam 2026: Dates, Fees in India, Pattern, Syllabus, Pass Rate

Prabhjyot KaurUpdated on 19 Sep 2025, 10:14 AM IST

The New Zealand Registration Examination (NZREX Clinical) is a mandatory licensing exam in New Zealand. All IMGs seeking medical practice in New Zealand are required to clear the NZREX exam conducted by the Medical Council of New Zealand. The NZREX registration for the March 2026 clinical exam date has currently open since 14 July 2025. No further applications for the March 2026 NZREX exam will be accepted if seats are full. However, the exact date of the examination is yet to be confirmed by the New Zealand Medical Council. The NZREX exam fees are NZD 5,531 (INR 2,87,790 approx) for international students. This includes the application and examination fee. Typically, all students who have completed their MBBS from outside New Zealand and have qualified parts in any medical license exams abroad in the USA, Australia, UK, etc., within 5 years of the exam date are eligible to take the NZREX Clinical in 2026.

This Story also Contains

  1. NZREX Exam Highlights 2026
  2. Key Features of NZREX Exam
  3. What is the Purpose of Taking the NZREX Exam?
  4. NZREX Exam Eligibility Criteria
  5. NZREX Exam Registration 2026
  6. Documents Required for NZREX Exam 2026
  7. NZREX Exam Dates 2026
  8. NREZ Exam Fee for IMGs
  9. NZREX Exam Fee for Indian Students
  10. NZREX Exam Format
  11. NZREX Exam Pattern 2026
  12. NZREX Centre
  13. NZREX Results 2026
  14. How to Become a Doctor in New Zealand?
  15. NZREX Exam Pass Rate
NZREX Exam 2026: Dates, Fees in India, Pattern, Syllabus, Pass Rate
NZREX Exam

NZREX exam 2026 is an OSCE (Objective Structured Clinical Examination). It measures the internationally trained doctors' clinical skills, clinical decision-making, and communication skills in simulated patient scenarios and assesses whether these are as per the New Zealand medical standards. The result of the NXREX test is generally emailed to candidates within 10 working days from the date of examination. After clearing the NZREX 2026 exam, IMGs need to secure a PGY1 role (prevocational training of 1 year) in New Zealand to be eligible for medical council registration as a medical practitioner. We have mentioned the detailed information on the NZREX 2026 exam for prospective candidates, including everything in this article. Read more for clarity of NZREX exam dates 2026, eligibility requirements, centres, registration, documentation, etc.

NZREX Exam Highlights 2026

International medical students can review the brief overview below for the NZDREX exam, NZREX exam cost, types, duration, etc.

Overview for NZREX

Particulars

Details

Exam name

NZREX Clinical

Commonly known as

NZX, NZREX

Conducting body

Medical Council of New Zealand

Exam Duration

3 hours

Exam Fee

NZD 5,531

Re-attempts

No limits on Re-attempts

Key Features of NZREX Exam

  • Single Exam: Unlike some other countries, New Zealand only requires one practical exam for registration, that is NZREX.
  • High Standards: The NZREX exam demonstrates the high standards of the New Zealand healthcare system.
  • Pass Rate: 60% is the average pass rate for this exam.

What is the Purpose of Taking the NZREX Exam?

These are the main reasons why candidates take the NZREX exam:

  • Licensure for IMGs: The New Zealand Registration Exam is the main pathway for international medical graduates to get a medical license to practice in New Zealand.
  • Healthcare Workforce: The exam addresses the demand for doctors in New Zealand.

NZREX Exam Eligibility Criteria

If you are interested in appearing for this NZREX 2026 test, you are required to meet the eligibility criteria mentioned below.

  • Obtain a primary medical degree qualification from a recognised medical school listed in the WDOMS ( World Directory of Medical Schools).

  • Qualified for any one of the acceptable medical licensing exams within the last 5 years. The acceptable medical licensing exams are PLAB part 1, MCCQE part 1, MCQ, USMLE - Steps 1 & 2.

  • Meet the English language proficiency requirements of a minimum 7.0 band in IELTS and a minimum 350 score in OET.

  • Should not hold the New Zealand Registration for the special purpose of practice.

NZREX Exam Registration 2026

Once you meet the eligibility criteria, you can apply for the NZREX Clinical. The NZREX 2026 application form can be sent through mail, along with essential documents to the Medical Council of New Zealand.

How to Apply for NZREX?

The exam registration process can be done by following the steps below.

  • On meeting the eligibility, apply for the primary source verification through the EPIC account at www.ecfmgepic.org/index.

  • Submit your documents for verification.

  • Once verified, apply for the NZREX exam registration.

  • Visit the Medical Council of New Zealand website and download the required application form for your circumstances.

  • Fill out the application form available on the official website.

  • Attach the necessary documents.

  • Submit the application form and documents to the Medical Council email address at examinations@mcnz.org.nz.

  • After submission, wait for the email notification for the NZREX clinical exam fee payment and pay the fee.

The application processing takes 20 working days. Once processing is done, further steps regarding the exam and exam fee payment will be informed to you through email.

Documents Required for NZREX Exam 2026

The following documents are required during the application submission.

  • Recent passport-size photograph.

  • Resume

  • Passport

  • Medical degree certificate

  • Medical Licensing examination results

  • English language test results of IELTS/OET.

NZREX Exam Dates 2026

The NZREX Clinical exam 2026 will be held in March, and the rest has not been released yet. Generally, the registration for NZREX exam date 2026 has already started. Students planning to appear in the NZREX must check the application dates and exam dates carefully and apply on time.

NZREX 2026 Dates

  • March: Yet to be announced

Official Notice: The specific date for the March 2026 NZREX Clinical exam will be announced later in 2025.

NREZ Exam Fee for IMGs

Check the application and examination fee in the table below:

Fee TypeAmount (NZD)
Application FeeNZD 817.06
Examination FeeNZD 4,713.88
Total CostNZD 5,531

NZREX Exam Fee for Indian Students

To appear for the New Zealand medical licensing exam for doctors, the candidate has to pay the application fee and examination fee. All the NZREX exam fee for India details are mentioned below.

Particulars

Fees (NZD)

Fees (INR)

Exam Application Fee

817.06

42,296.05

Examination Fee

4713.88

2,44,019.42

Score Re-check

415.69

21,518.67

Exam Withdrawal (before 6 weeks from exam date)

415.69

21,518.67

Exam Withdrawal (within 20 days of the exam date)

942.77

48,790.55

Refund of NZREX Exam Fees in India

Applicants who wish to withdraw from their exam can seek a fee refund based on days of cancellation before the exam date. Here are the refund details given below.

  • Cancelling the exam before 6 weeks: Full refund with deduction of administration charges.
  • Cancelling the exam before 20 working days: 20% refund of the exam fee
  • Cancelling the exam before 19 working days: 0% refund

NZREX Exam Format

  • The NZREX exam is in an OSCE format, offering a series of simulated stations or scenarios.
  • It focuses on the practical application of clinical knowledge, professionalism, and communication skills, rather than testing purely theoretical knowledge.
  • You will be tested on how well you are able to manage common clinical conditions at the level of a recent New Zealand graduate.

NZREX Exam Pattern 2026

  • The NZREX 2026 exam uses an Objective Structured Clinical Examination (OSCE) format.
  • The NZREX exam is 3 hours in duration
  • It consists of 12 Stand-alone or active stations.
  • Each station is 12 minutes in duration.
  • Candidates will be randomly allotted and are rotated through all the stations. Most of the stations use a simulated patient with an examiner. In each station of NZREX 2026.
  • You will be primarily tested on one topic or one area with multiple tasks.

NZREX Exam Syllabus 2026

The NRZEX Clinical exam tests both the clinical skills and medical knowledge of the candidates. The following are the seven domains assessed in the exam. The NZREX exam questions are based on these domains.

  • Communication

  • Professionalism

  • Cultural safety

  • History taking

  • Physical examination

  • Investigations/clinical reasoning

  • Management

These domains are assessed in every station, and a few in each case. For physical examination, you need to conduct a physical and mental examination on the simulated patient.

NZREX Centre

The NZREX Clinical is held in Auckland, New Zealand. If there are insufficient candidates, then the council may postpone the exam to the next available date. Candidates can also reschedule their exam to a later date by filling out the application form available on the official website.

NZREX Results 2026

The passing score for the NZREX 2026 exam is 60%. The exam scoring is done electronically. The NZREX results will be released within 10 working days from the examination date. The results will be sent to you via email.

For all who do not qualify for the exam, the council will provide written feedback to understand their result. As this is a summative examination, the feedback can not include the areas where the candidate's performance is to be improved.

How to Recheck My NZREX Exam Score?

If you find the exam result is inaccurate for their performance, you can apply for a recount. The recounting is done only to check whether the candidate's score is completely transcribed or not, but it does not include reviewing the examiner's opinions on the examination day. To request for recount, place your request within 10 working days after receiving your written feedback.

How to Become a Doctor in New Zealand?

By qualifying for the New Zealand medical license exam, that is the NZREX exam you can become a doctor in New Zealand. To apply for the medical license through this doctor's exam in New Zealand follow the sequence of steps mentioned below.

  • Scoring at least 60% marks in the NZREX Clinical is considered a pass score in the examination.

  • After passing the NZREX exam you need to seek a job offer as a postgraduate year 1 at any accredited training provider.

  • Then, participate in the intern training programme for 2 years.

  • After completion of the internship, apply for Vocational or General registration with the Medical Council of NZ.

  • Once registered, you are eligible to apply for jobs as a doctor in New Zealand.

NZREX Exam Pass Rate

What is the NZREX pass rate? In the past 5 years, a total of 169 candidates have appeared in the NZREX Clinical; among them, 141 have registered for the general practice. The NZREX Clinical exam pass rate of the last 5 years is 64.8 per cent, while the registration rate stands at 83.4 per cent.

Frequently Asked Questions (FAQs)

Q: Is there any limit on reattempts for NZERX?
A:

No, there is no limit on the number of reattempts to take the NZREX exam. As long as you meet the eligibility requirements of the exam you are eligible for re-attempts. 

Q: How difficult is the NZREx exam?
A:

Yes, the NZREX exam is difficult. This competitive exam requires strong clinical communication skills. Hence, a thorough preparation is mandatory before appearing for the exam. 

Q: What is the pass rate for the Nzdrex exam?
A:

This exam does not have a fixed pass rate. However, the MCNZ aims for a pass score of a minimum of 60%. As per the data from the previous 5 years, the average NZREX Clinical exam pass rate is 64.8 per cent for IMGs. 

Q: How much does NZrex cost?
A:

It is mandatory to take the NZRex to become a doctor in New Zealand. The application fee is NZD 817.06 and the examination fee is NZD 4,713.88. So, international medical graduates looking to appear for the NZREX exam in 2026 must pay a total fee of NZD 5,531. 

Q: Can I give NZREX after PLAB 1?
A:

Yes, you can give the NZREX exam after PLAB 1. It is mandatory to first clear any of the licensing exams in your home country (PLAB 1, AMC, USMLE Step 1 & 2, or MCCQE Part 1) to be eligible to register for the NZREX exam in 2026. 

Q: Can Indian doctors work in New Zealand?
A:

Yes, Indian doctors can work in New Zealand, but they must meet specific requirements for registration with the Medical Council of New Zealand (MCNZ) and obtain the necessary work visa. 

Q: How to prepare for the NZREx exam?
A:

The best way to prepare for the NZREx exam is by studying the Medical Council of New Zealand (MCNZ) clinical handbook to get a hold on the structure, and guidelines of the exam. If you are at the intern level, practice common clinical conditions and pay more attention to communication, professionalism, cultural safety, history taking, phyiscal examination, and clinical reasoning. 

Q: Is the NZREX exam conducted in New Zealand?
A:

Yes, the NZREX is conducted in the New Zealand country. Test-takers have to come to Auckland City of New Zealand to attempt the NZREX. Candidates can book their tickets once they receive the confirmation on the exam allocation.

Q: Can Indian MBBS doctors work in New Zealand?
A:

Indian medical doctors who want to work as doctors in New Zealand country need to get registered with its Medical Council. There are many pathways for candidates to get registration. If you are an MBBS graduate qualified for the medical licensing examination in other countries, then you will be eligible for the examination registration pathway through the NZREX exam.

Q: Where is the NZREX Exam Centre?
A:

The exam will be conducted in the Auckland city of New Zealand. The test is held twice a year, if the number of applicants is less, they will be shifted to the upcoming examination date.

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