- The username of your existing account on wikitech.wikimedia.org: Samtar
- Do you currently have shell access (Yes/No)? No
- Purpose (Specify which service you need to get access to, e.g. Icinga, Grafana, Superset etc): Gerrit ACLs for code review
- The specific LDAP group that you want to be added to (optional): ldap/wmf
For contractors only:
- Contract end date: October 17, 2022
- Contract contact person: @KSiebert