If the moderator's decision pursuant to section 9-232 is not favorable to the challenged voter, such person may request a challenged ballot by submitting an application to the moderator, such application shall include as part thereof an affidavit that such person possesses all the qualifications for voting and is entitled to vote at the election.
Conn. Gen. Stat. § 9-232d
(P.A. 75-348, S. 2, 11.)