I read:
* Name: Samolicz Jankel
* Age etc.: 20 Yrs, male, single
* Occupation: Setler [?]
* can read and write
* Country of Origin and Race: Russia, Heb
* Last residence: Russia, Omriau
* Relative: sister Bluma Samolicz Amriau Wolin [?]
* Destination: New York
* Ticket? yes
* Passage paid by: father
* Money: no
* never been in the U.S. before
* joining father Liser [?] Samolicz New York 156. Garrick av.
* 5 ft. 5 in. tall
* fr. [fair]
* Color of hair: br[own]
* Color of eyes: br[own]
* Place of birth: Russia, Omoriau
I'm quite sure of the spelling of the birth place (checked A against O etc.) but I was not able to find a matching place so far.