BIG Registration Nurse (non-EU) 2025

Complete guide for nurses with diplomas from outside the EU/EEA who want to register in the Netherlands

Good news for nurses

Nurses often have more success with BIG registration than pharmacists. There are also faster alternatives available!

New in 2025: BI test mandatory

Nurses from outside the EU must now also take a professional content test (BI test) as part of the procedure.

Requirements for non-EU nurses

Specific requirements for nurses with diplomas from outside the EU/EEA in 2025

HBO nursing diploma (Bachelor level, 4 years)

Declaration of professional competence via CBGV

BI test (professional content test) mandatory in 2025

Dutch B2 level (CNaVT certificate)

CCPS certificates from all relevant countries

Good Conduct certificates

Advantage for nurses

Nurses often have a higher success rate than pharmacists because Dutch nursing education is more comparable to international standards. The CBGV is usually less strict for nurses.

Procedure 2025 for non-EU nurses

Extensive procedure via Declaration of professional competence including new BI test

1

Preparation and documentation

Collect all required documents before starting

  • Diploma with apostille and Dutch translation
  • Complete education program (curriculum)
  • CCPS certificates from all relevant countries
  • Good Conduct certificates
  • Work experience proofs (if applicable)
2

Application Declaration of professional competence

Online application via mijn.bigregister.nl

  • General application form
  • Attachment professional competencies nurses (mandatory)
  • Upload documents or send by post
3

BI test (New in 2025)

Professional content test for nurses

  • Test on Dutch nursing practice
  • Information session for preparation
  • Costs: approximately €500
  • Can be repeated if insufficient
Tip

Prepare well for the BI test by studying Dutch guidelines and protocols. Participate in the information session!

4

CBGV assessment

Commission assesses your education, experience and BI test

  • Comparison with Dutch HBO nursing
  • Assessment BI test result
  • Possible explanatory conversation
  • Decision within 3 months
5

Dutch language test

CNaVT B2 certificate for nurses

  • General Dutch B2 level
  • Medical/nursing jargon
  • Communication with patients and family
  • Reporting and documentation
6

BIG registration and supervision

Final registration with supervision period

  • BIG number is assigned
  • Supervision period of 6 months
  • Fully authorized to work as nurse
  • Possibility of specialization

Required documents for non-EU nurses

Extensive document list for Declaration of professional competence

Basic documents

6 documents

CCPS certificates

Per country

Good Conduct certificates

Per country

Language and experience

5 documents
Important

CCPS and Good Conduct certificates may not be older than 3 months. The BI test must be taken before the CBGV can assess your application.

Alternatives for non-EU nurses

Faster ways to work in Dutch healthcare

Faster alternatives

  • Caregiver IG (VIG)
    MBO level, much faster procedure, possible within 6-12 months
  • Care assistant
    No BIG registration needed, direct inflow possible
  • Home care
    Many opportunities without full BIG registration
  • HBO Nursing study in NL
    Dutch diploma gives direct BIG registration

VIG route: Faster alternative with growth opportunities to nurse

Home care: High demand for caregivers with international experience

V&VN membership: Support and network for international nurses

Recommended strategy

Start as VIG to gain Dutch work experience and learn the language. This significantly speeds up your full nurse registration later.

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VIG (Verzorgende IG)

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Verzorgende

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Tijdens BIG procedure

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  • cannot_independently_perform_voorbehouden_handelingen
  • always_under_supervision_big_registered_personnel
  • need_diploma_recognition_netherlands
Doktersassistent

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Frequently asked questions 2025

Specific questions for non-EU nurses

The professional content test (BI test) has been mandatory since 2025 for nurses from outside the EU. The test examines your knowledge of Dutch nursing practice, protocols and guidelines. Information sessions are organized for preparation. Study Dutch V&VN guidelines and participate in preparation sessions.

For nurses, the full procedure takes an average of 8-15 months: documentation (1-2 months), submitting application (1 month), BI test preparation and taking (2-3 months), CBGV assessment (3 months), language test (parallel), BIG application (2-3 months). This is significantly faster than for pharmacists.

Yes, this is often recommended! As VIG you can start working within 6-12 months, gain Dutch work experience and improve the language. Later you can upgrade to full nurse. Many employers support this route and offer study facilities.

The BI test can be repeated. You will receive feedback on which topics you need to improve. Often additional courses or internships can help. The CBGV also looks at your overall profile - work experience can sometimes compensate for a lower test score.

Yes! You can work as a care assistant, VIG (with separate application), or in supporting roles. This gives you valuable Dutch work experience and helps with language acquisition. Many healthcare organizations offer growth programs.

After BIG registration you can specialize in intensive care, operating room, psychiatric nursing, district nursing, maternity care, or disability care. The Netherlands has a great need for specialized nurses. Many specializations are funded by employers.

Ready to start?

Start today with your preparation for the Dutch nursing career