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Maximum Points without IELTS
If you are at least 16 points above the 67 cut-off points, then yes, I'd advise you to write a letter telling them you will not take the test like becomingGandalf did, or write letters supporting your 'English Skills'

HOWEVER, if you know you need all your points, then simply do not gamble but instead, comply and take the darn test. The test is easy for skilled English speakers, it's relatively inexpensive, and best of all, it secures your language points!

If you do not take the IELTS, you are essentially asking the Officer to use THEIR discretion (or mood) in awarding you points. I have seen cases where US PhD holders were awarded anywhere from 0-8 points - per discretion ie depending on the IO's mood. The net is that, there are times in life to haggle, and there are other times to simply comply - to your advantage.

I grew up in an English speaking environment, completed education in an Ivy League, yet I complied since I don't want to play with my points for the FSW. I took the test so that it is not left to discretion or PMS or something like that....

Good luck.
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