This report looks into the incidence of skills mismatches in the Republic of North Macedonia (hereinafter referred to as North Macedonia). In 2017, the European Training Foundation (ETF) initiated a skills mismatch measurement project in the ETF partner countries with two objectives: (1) to identify regular data sources; and (2) to develop and test a series of indicators fit to capture various angles and implications of skills mismatches. In the first phase, four partner countries were selected -- Serbia, Georgia, Egypt, and Morocco -- while in the second phase, the project included North Macedonia, Montenegro and Moldova. Country-specific analyses were developed to contextualise skills mismatch measurement for each country, and a cross-country report complements country findings and further delves into methodological aspects and potential to replicate such initiatives in other ETF partner countries. Datasets available in the statistical system of North Macedonia allowed for calculation of the following key mismatch indicators: (1) unemployment rates by various dimensions; (2) proportions of unemployed people versus employed people; (3) young people not in employment, education, or training (NEETs); (4) coefficient of variation of education; (5) variance of relative unemployment rates; (6) mismatch by occupation; (7) over- and under-education; and (8) relative wages. Chapter 1 provides contextual information on labour market, education, and skills aspects. Chapter 2 examines in more detail developments in labour demand, young people's transition from education to work, and the extent of mismatch in skills supply and demand. Chapter 3 delves into methodological aspects of data availability and harmonisation with international and European standards or classifications; while in Chapter 4, the skills mismatch indicators are presented and discussed at length. The final chapter summarises the findings and proposes the most important avenues for further action. [For the cross-country report, "Skills Mismatch Measurement in ETF Partner Countries," see ED597236.]