When a student learns English in order to live and work in an English speaking country we say they are learning English as a Second Language. Compare this to someone who does not live in an English speaking country but learns the language to do business in another country; they learn English as a Foreign Language.
TEFL stands for Teaching English as a Foreign Language. Simply put, this is usually used to talk about teaching English to people who live in a non-English speaking country and who want to learn English for business or to take an exam, etc.
It is pretty much equivalent to TESOL and TESL.
For more, see TEFL - Teaching English as a Foreign Language.
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