P.V. Alexander was born in a Christian family in Kerala State, India. After high school, he went to Bombay, now Mumbai, to work. While there, he studied and received his Master's Degree in Commerce. During this time, P.V. and his wife Ammukutty started a church in their home. Eventually, this ministry led him to the United States to study.

After completing his education at Johnson Bible College in 1968, P.V. went on to receive a Masters of Divinity from Cincinnati Bible Seminary and a Doctor of Divinity from Louisville Bible College.

P.V. returned to Kerala, India, in 1973 to begin his ministry. Today, after more than 40 years of ministry, the Churches of Christ in the state of Kerala, India, support a variety of outreach programs that reach thousands of people each year with the news of Jesus Christ.