I want Tracebility Matrix template for functional testing

NOTE : [This question was asked by Murali]

The simple template for the Traceability matrix will have the following fields:

1. Requirement ID
2. Requirement received Date
3. Module Name
4. Responsible Tester Name
5. Reviewer Name
6. Test case name
7. Build / Version number
8. Associated Defects
9. Reviewer Comments.

The traceability matrix can either be maintained in the excel sheet or in the specified tools.

i want template which is useful to maintain the version as well as traceability matrix